MEDICARE: TRAUMA AND COUNSELING SOLUTIONS

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1003332065	OTHER		INDIVIDUAL NPI

General Provider Information

NPI Number	:	1578186920
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRAUMA AND COUNSELING SOLUTIONS

Provider Business Mailing Address
First Line	:	10489 HELEY ST
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34608-3729
Country	:	US
Telephone Number	:	813-328-6034
Fax Number	:	407-391-3619

Provider Business Practice Location Address
First Line	:	10489 HELEY ST
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34608-3729
Country	:	US
Telephone Number	:	813-328-6034
Fax Number	:	407-391-3619

Authorized Official
Title or Position	:	OWNER
Name	:	CHELIE BYERLY
Credential	:	MA, LMHP, NCC
Telephone Number	:	813-328-6034

Provider Enumeration Date	:	05/20/2020
Last Update Date	:	05/20/2020

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Directions to “TRAUMA AND COUNSELING SOLUTIONS ” Practice Location

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