Provider Demographics
NPI:1851068803
Name:BYRD, CAROLINE ALEXANDRIA (MS, LPC ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:ALEXANDRIA
Last Name:BYRD
Suffix:
Gender:F
Credentials:MS, LPC ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1075 KINGWOOD DR STE 204
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-3000
Mailing Address - Country:US
Mailing Address - Phone:832-262-4748
Mailing Address - Fax:
Practice Address - Street 1:1075 KINGWOOD DR STE 204
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-3000
Practice Address - Country:US
Practice Address - Phone:832-262-4748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-26
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86432101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional