Healthcare Provider Details

I. General information

NPI: 1366672412
Provider Name (Legal Business Name): BYRNE CONSULTANTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2009
Last Update Date: 04/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 S MOPAC # 523
AUSTIN TX
78746-7951
US

IV. Provider business mailing address

2301 S MOPAC # 523
AUSTIN TX
78746-7951
US

V. Phone/Fax

Practice location:
  • Phone: 210-313-8377
  • Fax: 512-329-5657
Mailing address:
  • Phone: 210-313-8377
  • Fax: 512-329-5657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number19854
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDT05631
License Number StateTX

VIII. Authorized Official

Name: DOROTHY A BYRNE
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: PH.D., LPC, RD, LD
Phone: 210-313-8377