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NPI Code Detail

MEDICARE: ANGELA BYRD LPC

MEDICARE: ANGELA BYRD 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
1101YM0800XMental Health Counselor64666TX
2101Y00000XCounselor64666TX
3101YP2500XProfessional Counselor64666TX

Other Identifiers

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

General Provider Information

NPI Number : 1528412566
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA BYRD LPC
Provider Business Mailing Address
First Line : PO BOX 210012
Second Line :
City : BEDFORD
State : TX
Zip : 76095-7012
Country : US
Telephone Number : 682-503-1788
Fax Number : 682-228-5738
Provider Business Practice Location Address
First Line : 1452 HUGHES RD STE 200
Second Line :
City : GRAPEVINE
State : TX
Zip : 76051-9221
Country : US
Telephone Number : 682-503-1788
Fax Number : 682-228-5738
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2016
Last Update Date : 01/15/2026

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Directions to “ ANGELA BYRD LPC” Practice Location

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