Provider Demographics
NPI:1649029315
Name:BYINGTON, BECKS KELLYN
Entity type:Individual
Prefix:
First Name:BECKS
Middle Name:KELLYN
Last Name:BYINGTON
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 FRENCH PL UNIT 2
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78722-1915
Mailing Address - Country:US
Mailing Address - Phone:615-306-5022
Mailing Address - Fax:
Practice Address - Street 1:3101 FRENCH PL UNIT 2
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78722-1915
Practice Address - Country:US
Practice Address - Phone:615-306-5022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-15
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical