Provider Demographics
NPI:1669664041
Name:BYRON, AILEEN DENISE (MSW)
Entity Type:Individual
Prefix:MS
First Name:AILEEN
Middle Name:DENISE
Last Name:BYRON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 SW 3RD ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-1926
Mailing Address - Country:US
Mailing Address - Phone:305-374-9990
Mailing Address - Fax:
Practice Address - Street 1:111 SW 3RD ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-1926
Practice Address - Country:US
Practice Address - Phone:305-374-9990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-09
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW 4310101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health