Provider Demographics
NPI:1720430457
Name:BYRD, MARGOT HOESCHELE (LMHC)
Entity Type:Individual
Prefix:
First Name:MARGOT
Middle Name:HOESCHELE
Last Name:BYRD
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:294 SWEET MANGO TRL
Mailing Address - Street 2:
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-1894
Mailing Address - Country:US
Mailing Address - Phone:904-315-9183
Mailing Address - Fax:
Practice Address - Street 1:105 SOUTHPARK BLVD UNIT 202
Practice Address - Street 2:
Practice Address - City:SAINT AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32086-5191
Practice Address - Country:US
Practice Address - Phone:904-315-9183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-06
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health