Provider Demographics
NPI:1821243593
Name:BYERS, NANCY DENARDO (MED, LPC, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:DENARDO
Last Name:BYERS
Suffix:
Gender:F
Credentials:MED, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9801 WALNUT ST
Mailing Address - Street 2:A-214
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-2800
Mailing Address - Country:US
Mailing Address - Phone:214-424-1217
Mailing Address - Fax:
Practice Address - Street 1:9801 WALNUT ST
Practice Address - Street 2:A-214
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-2800
Practice Address - Country:US
Practice Address - Phone:214-424-1217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-22
Last Update Date:2008-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1076101YP2500X
TX2657106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist