Provider Demographics
NPI:1750370433
Name:BYRNES, CHRISTOPHER S (MA LPC-MHSP)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:S
Last Name:BYRNES
Suffix:
Gender:M
Credentials:MA LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6400 LEE HWY STE 106
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-2452
Mailing Address - Country:US
Mailing Address - Phone:423-855-0402
Mailing Address - Fax:
Practice Address - Street 1:1375 HORNS CREEK RD
Practice Address - Street 2:
Practice Address - City:OLD FORT
Practice Address - State:TN
Practice Address - Zip Code:37362-7650
Practice Address - Country:US
Practice Address - Phone:423-813-9340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2402101Y00000X, 101YP2500X
NE1961101YP2500X
AK578101YP2500X
NE1126101YP2500X
IA00384101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1020986Medicaid