Byrd House-Behavioral Youth Resource Development, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BYRD HOUSE-BEHAVIORAL YOUTH RESOURCE DEVELOPMENT, INC

Practice address

19 Perry St
Suite 202
Newnan, GA 30263-1918

Phone

(678) 423-3200

NPI assigned

Jan 18, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Edith Renee ByrdNPI 1891187829

Title

Executive Director

Phone

(678) 423-3200

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edith Byrd, LPC007444

  • Professional Counselor
  • Newnan, GA
  • NPI 1891187829

  GA

  Medicare reassignment NPD Authorized official
• Darren David Kies, MD

  • Vascular & Interventional Radiology Physician
  • Atlanta, GA
  • NPI 1194922120
  NPD (past)
• Tonya G. White-Harris, LPC

  • Professional Counselor
  • Newnan, GA
  • NPI 1528886017
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263772800000",
    "number": "1619208519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72001",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302712001",
            "telephone_number": "678-423-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 PERRY ST",
            "address_2": "SUITE 202",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631918",
            "telephone_number": "678-423-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYRD HOUSE-BEHAVIORAL YOUTH RESOURCE DEVELOPMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-18",
        "last_updated": "2010-01-18",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "678-423-3200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James G. Burson, M.D.
• Olivia D Bush, MD
• Christy L Butler
• Arianna Nichole Buuck, PT, DPT
• Jaselle Janee Bynum, MS, BCBA, LBA
• Devin Marie Byrd, RBT
• Edith Byrd, LPC007444
• Kayla Byrd, DPT
• C & B Corporation
• Luis Mariano Cabrera Hernandez, MD

• All providers in Newnan, GA
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.