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NPI Code Detail

MEDICARE: MS. SHAUNICA CARMELL BYRD LCPC

MEDICARE: MS. SHAUNICA CARMELL BYRD LCPC
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 Counselor6039OK
2101YP2500XProfessional CounselorCP5681-RNV
3101YM0800XMental Health CounselorCP5681-RNV

General Provider Information

NPI Number : 1770870099
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHAUNICA CARMELL BYRD LCPC
Provider Business Mailing Address
First Line : 3035 S MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-2200
Country : US
Telephone Number : 702-857-8800
Fax Number :
Provider Business Practice Location Address
First Line : 3035 S MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-2200
Country : US
Telephone Number : 702-857-8800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2011
Last Update Date : 06/30/2025

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