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NPI Code Detail

MEDICARE: QUENAE JOHNSON-BYRD

MEDICARE: QUENAE JOHNSON-BYRD
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
1101YP2500XProfessional Counselor3353MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11700894730OTHERMSMENTAL HEALTH THERAPIST

General Provider Information

NPI Number : 1912601550
Entity Type Code : Individual
Provider Name (Legal Business Name) : QUENAE JOHNSON-BYRD
Provider Business Mailing Address
First Line : 302 N JACKSON ST
Second Line :
City : STARKVILLE
State : MS
Zip : 39759-2504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1001 MAIN ST
Second Line :
City : COLUMBUS
State : MS
Zip : 39701-4751
Country : US
Telephone Number : 662-328-9225
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2023
Last Update Date : 02/16/2026

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Directions to “ QUENAE JOHNSON-BYRD ” Practice Location

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