MEDICARE: CARMELA D BYUS MED, LPC, LICDC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	LICDC.162237	OH
2	101YP2500X	Professional Counselor	C.2304908	OH

General Provider Information

NPI Number	:	1902275431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARMELA D BYUS MED, LPC, LICDC

Provider Business Mailing Address
First Line	:	33 N MARKET ST
Second Line	:
City	:	BATAVIA
State	:	OH
Zip	:	45103-2906
Country	:	US
Telephone Number	:	513-409-3635
Fax Number	:	513-409-0408

Provider Business Practice Location Address
First Line	:	3476 SMYRNA RD
Second Line	:
City	:	FELICITY
State	:	OH
Zip	:	45120-9753
Country	:	US
Telephone Number	:	513-859-6518
Fax Number	:

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

Provider Enumeration Date	:	09/15/2015
Last Update Date	:	04/21/2025

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