MEDICARE: MR. MICHAEL RAY BYLER LPC

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
1	101Y00000X	Counselor	LPC005448	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366538431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL RAY BYLER LPC

Provider Business Mailing Address
First Line	:	9310 N LAKE DR
Second Line	:
City	:	ROSWELL
State	:	GA
Zip	:	30076-2808
Country	:	US
Telephone Number	:	678-881-9870
Fax Number	:	678-905-7057

Provider Business Practice Location Address
First Line	:	325 HAMMOND DR NE
Second Line	:	SUITE 303
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30328-5032
Country	:	US
Telephone Number	:	678-881-9870
Fax Number	:	678-905-7057

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	10/23/2012

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