Provider Demographics
NPI:1457993289
Name:BYRNE, LOREN HARLOWE (LMSW)
Entity type:Individual
Prefix:
First Name:LOREN
Middle Name:HARLOWE
Last Name:BYRNE
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:LORENE
Other - Middle Name:MARGARET
Other - Last Name:WAMSLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3160 COVENTRY DR
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-9226
Mailing Address - Country:US
Mailing Address - Phone:989-220-3060
Mailing Address - Fax:989-220-3409
Practice Address - Street 1:4151 SHRESTHA DR
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-2171
Practice Address - Country:US
Practice Address - Phone:989-220-3060
Practice Address - Fax:989-220-3409
Is Sole Proprietor?:No
Enumeration Date:2019-10-14
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011026931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical