MEDICARE: MRS. L KAY BYERS LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	12969	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538176904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. L KAY BYERS LPC

Provider Business Mailing Address
First Line	:	3200 N MACARTHUR BLVD
Second Line	:	STE. 101
City	:	IRVING
State	:	TX
Zip	:	75062-4404
Country	:	US
Telephone Number	:	214-546-4514
Fax Number	:

Provider Business Practice Location Address
First Line	:	3200 N MACARTHUR BLVD
Second Line	:	STE. 101
City	:	IRVING
State	:	TX
Zip	:	75062-4404
Country	:	US
Telephone Number	:	214-546-4514
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	07/25/2012

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