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NPI Code Detail

MEDICARE: MRS. LAURA S BYAS LPC

MEDICARE: MRS. LAURA S BYAS 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
1101Y00000XCounselor17405TX
2101YP2500XProfessional Counselor17405TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
283455LOTHERTXBCBS OF TEXAS

General Provider Information

NPI Number : 1841298494
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAURA S BYAS LPC
Provider Business Mailing Address
First Line : PO BOX 844658
Second Line :
City : DALLAS
State : TX
Zip : 75284-4658
Country : US
Telephone Number : 254-724-8800
Fax Number :
Provider Business Practice Location Address
First Line : 7700 FISH POND RD
Second Line :
City : WACO
State : TX
Zip : 76710-1031
Country : US
Telephone Number : 254-761-4444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 12/22/2015

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