MEDICARE: MICHELLE ELAINE BYRD 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
1	101YM0800X	Mental Health Counselor	LPC.0015568	CO

General Provider Information

NPI Number	:	1891335808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE ELAINE BYRD LPC

Provider Business Mailing Address
First Line	:	19831 E DARTMOUTH AVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80013-4335
Country	:	US
Telephone Number	:	214-460-3604
Fax Number	:

Provider Business Practice Location Address
First Line	:	1325 S COLORADO BLVD STE 108
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-3310
Country	:	US
Telephone Number	:	214-460-3604
Fax Number	:

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

Provider Enumeration Date	:	01/08/2020
Last Update Date	:	01/08/2020

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