MEDICARE: JAMES MICHAEL BYRNE MA

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1558826768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES MICHAEL BYRNE MA

Provider Business Mailing Address
First Line	:	4130 CARRIAGE HILL DR
Second Line	:
City	:	METAMORA
State	:	MI
Zip	:	48455-9285
Country	:	US
Telephone Number	:	586-295-7682
Fax Number	:

Provider Business Practice Location Address
First Line	:	245 BARCLAY CIR STE 400
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-5812
Country	:	US
Telephone Number	:	734-368-7154
Fax Number	:

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

Provider Enumeration Date	:	02/01/2019
Last Update Date	:	02/01/2019

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