Christy Diane Byrd, LMFT
Individual provider Active NPI Marriage & Family Therapist · Noble, OK
NPI 1871702258 · NPPES record last updated Aug 16, 2018
Key facts
- NPI
- 1871702258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 928 (OK)
- Practice address
- 115 S Main St
Noble, OK 73068 - Phone
- (405) 568-2003
- Fax
- (405) 872-8466
- NPI assigned
- May 22, 2007
- Sex
- Female
- 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 |
|---|---|---|---|
| 928 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impact Counseling Center LLC | Marriage & Family Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 928 | OK | Yes |
Addresses
Primary practice location
115 S Main St
Noble, OK 73068
Mailing address
PO Box 196
Noble, OK 73068-0196
Phone (405) 568-2003
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200260590B | Medicaid | OK |
Other providers in Noble, OK
- Diana Basurto
- Melissa Rachelle Blankenship
- Kimberly Stewart Blanton
- Jeffrey Brammer Jr.
- Michelle K Brown
- Mildred Leona Caffey
- Central Ok Family Med Ctr
- Eric John Choate
- City of Noble
- Cletas Cottage Day Treatment Center
All providers in Noble, OK · Marriage & Family Therapist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2018. 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.