Terry Davis Byrd, CDCA 180095
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Columbus, OH
NPI 1356085591 · NPPES record last updated Apr 25, 2022
Key facts
- NPI
- 1356085591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CDCA180095 (OH)
- Practice address
- 1336 E Main St
Columbus, OH 43205-2081 - Phone
- (614) 824-1338
- NPI assigned
- Apr 25, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| CDCA180095 | OH | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nehemiah 7 Transport LLC | Single Specialty | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CDCA180095 | OH | |
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | CDCA180095 | OH | Yes |
Addresses
Primary practice location
1336 E Main St
Columbus, OH 43205-2081
Mailing address
1336 E Main St
Columbus, OH 43205-2081
Phone (614) 824-1338
Other providers in Columbus, OH
- Kelsey Nicole Byrd
- Naajee Byrd
- Nicole Byrd
- Shalea Marie Byrd
- Shana I Byrd
- Matthew Byrdy
- Mary B Byrley
- Erin Byrne
- Lindsey Byrne
- Patrick Byrne
All providers in Columbus, OH · Addiction (Substance Use Disorder) Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2022. 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.