1134643299 NPI number — MRS. MARY FRANCES BYRNES LCSW, LPC-MHSP

Table of content: MRS. MARY FRANCES BYRNES LCSW, LPC-MHSP (NPI 1134643299)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134643299 NPI number — MRS. MARY FRANCES BYRNES LCSW, LPC-MHSP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BYRNES
Provider First Name:
MARY
Provider Middle Name:
FRANCES
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW, LPC-MHSP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1134643299
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/31/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3237 SOUTHLAKE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NASHVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37211-2943
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-294-0889
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4305 ALBION ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37209-2300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-294-0889
Provider Business Practice Location Address Fax Number:
615-294-0889
Provider Enumeration Date:
07/31/2017

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  1886 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1885 . This is a "LICENSED PROFESSIONAL COUNSELOR- MENTAL HEALTH SERVICE PROVIDER" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 5688 . This is a "LICENSED CLINICAL SOCIAL WORKER" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".




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