Healthcare Provider Details

I. General information

NPI: 1003332065
Provider Name (Legal Business Name): CHELIE BYERLY MA, LPC, LMHC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHELLEY TERESA FRIEDMAN MA

II. Dates (important events)

Enumeration Date: 08/21/2017
Last Update Date: 08/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11141 COUNTY LINE RD UNIT 114
SPRING HILL FL
34609-5620
US

IV. Provider business mailing address

14329 BARRACUDA RUN
SPRING HILL FL
34609-0525
US

V. Phone/Fax

Practice location:
  • Phone: 813-328-6034
  • Fax:
Mailing address:
  • Phone: 813-205-0682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number15242
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: