MEDICARE: MR. TRISTAN W BYRNES LMHC

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	MH12786	FL

General Provider Information

NPI Number	:	1669757266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TRISTAN W BYRNES LMHC

Provider Business Mailing Address
First Line	:	400 39TH AVE S
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33705-3936
Country	:	US
Telephone Number	:	813-919-6185
Fax Number	:

Provider Business Practice Location Address
First Line	:	6251 PARK BLVD N # 9C
Second Line	:
City	:	PINELLAS PARK
State	:	FL
Zip	:	33781-3238
Country	:	US
Telephone Number	:	813-919-6185
Fax Number	:

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

Provider Enumeration Date	:	10/14/2011
Last Update Date	:	01/31/2026

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