Active NPI
Tbyrd Therapy Services
- Adult Mental Health Clinic/Center
- Maumelle, AR
National Provider Identifier
1245776269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 6615-C
- Legal business name
- TBYRD THERAPY SERVICES
- Practice address
- 131 Breckenridge LN
Maumelle, AR 72113-5935 - Phone
- (256) 348-2811
- NPI assigned
- Jan 13, 2017
- Last updated
- Jan 13, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Taraniio A Byrd, LCSW
- Title
- Therapist
- Phone
- (256) 348-2811
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 6615-C | AR | Primary |
Addresses
Primary practice location
131 Breckenridge LN
Maumelle, AR 72113-5935
Mailing address
2725 Cantrell Rd Ste 106
Little Rock, AR 72202-2016
Phone (256) 348-2811
National Provider Directory
National Provider DirectoryLocations
2725 Cantrell Rd
Ste 106
Little Rock, AR 72202
Phone (501) 246-0265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484265600000",
"number": "1245776269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2725 CANTRELL RD STE 106",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722022016",
"telephone_number": "256-348-2811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 BRECKENRIDGE LN",
"city": "MAUMELLE",
"state": "AR",
"postal_code": "721135935",
"telephone_number": "256-348-2811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TBYRD THERAPY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-13",
"last_updated": "2017-01-13",
"status": "A",
"authorized_official_last_name": "BYRD",
"authorized_official_first_name": "TARANIIO",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "256-348-2811",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "AR",
"license": "6615-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maumelle, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.