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General NPI Number Information
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NPI Number | 1891335808
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Entity Type | Individual
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Provider Name | MICHELLE ELAINE BYRD LPC
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Gender | Female
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Dates
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Enumeration Date | 01/08/2020
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Last Update Date | 01/08/2020
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Provider Practice Location Address
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Address Line | 1325 S COLORADO BLVD STE 108
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City | DENVER
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State | CO
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Zip | 80222-3310
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Country | US
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Telephone | 214-460-3604
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Fax |
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Provider Business Mailing Address
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Address Line | 19831 E DARTMOUTH AVE
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City | AURORA
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State | CO
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Zip | 80013-4335
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Country | US
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Telephone | 214-460-3604
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC.0015568
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License Number State | CO
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