Healthcare Provider Details

I. General information

NPI: 1134437718
Provider Name (Legal Business Name): JAMES BYLER BA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2010
Last Update Date: 09/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 HIGHWAY 14 SOUTH #1
YELLVILLE AR
72687-8597
US

IV. Provider business mailing address

319 HIGHWAY 14 SOUTH #1
YELLVILLE AR
72687-8597
US

V. Phone/Fax

Practice location:
  • Phone: 866-308-9927
  • Fax: 870-449-5178
Mailing address:
  • Phone: 866-308-9927
  • Fax: 870-449-5178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: