Rey Remus Byrne

Individual provider Active NPI Marriage & Family Therapist · Saint Louis, MO

NPI 1194249839 · NPPES record last updated Apr 29, 2022

Key facts

NPI
1194249839
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
2021043650 (MO)
Practice address
7711 Bonhomme Ave Ste 850
Saint Louis, MO 63105-1964
Phone
(314) 455-6799
Fax
(844) 909-4744
NPI assigned
Aug 2, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
127417CAMDMarriage & Family Therapist
2021043650MOMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 127417 CA
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X 2021043650 MO Yes

Addresses

Primary practice location

7711 Bonhomme Ave Ste 850
Saint Louis, MO 63105-1964

Mailing address

7711 Bonhomme Ave Ste 850
Saint Louis, MO 63105-1964
Phone (314) 455-6799

Other names

  • Rachael Byrne Former name

Other providers in Saint Louis, MO

All providers in Saint Louis, MO · Marriage & Family Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.