Phyllis Byrne, LPC
Individual provider Active NPI Professional Counselor · Locust Grove, VA
NPI 1114122579 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1114122579
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701004202 (VA)
- Practice address
- 4448 Germanna Hwy Ste 7C
Locust Grove, VA 22508-2012 - Phone
- (540) 972-0504
- NPI assigned
- Jun 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701004202 | VA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701004202 | VA | Yes |
Addresses
Primary practice location
4448 Germanna Hwy Ste 7C
Locust Grove, VA 22508-2012
Mailing address
PO Box 261
Locust Grove, VA 22508-0261
Phone (540) 270-1357
Other providers in Locust Grove, VA
- Susan E. Black Sr.
- Body Soul Well
- Samah Nor Bouyakoub
- Nicolette An Buell
- John M. Bush
- Shalonda Tenille Carson
- Gretchen Carter
- Marcellous Carter
- Natalia Carter
- Country Doctor, LTD
All providers in Locust Grove, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.