1265551279 NPI number — MRS. ELIZABETH LITTLE BYRNE LPC

Table of content: MRS. ELIZABETH LITTLE BYRNE LPC (NPI 1265551279)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265551279 NPI number — MRS. ELIZABETH LITTLE BYRNE LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BYRNE
Provider First Name:
ELIZABETH
Provider Middle Name:
LITTLE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LPC
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:
1265551279
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/10/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
52925 HODGSON RD
Provider Second Line Business Mailing Address:
PMB 75
Provider Business Mailing Address City Name:
STOCKTON
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36579-4031
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
256-850-4091
Provider Business Mailing Address Fax Number:
256-970-1643

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
915 WILLOWBROOK DR SE STE D
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUNTSVILLE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35802-3262
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
251-747-1850
Provider Business Practice Location Address Fax Number:
251-625-8719
Provider Enumeration Date:
03/29/2007

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: 101YP2500X , with the licence number:  2172 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 51548633 . This is a "BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com