Individual
TIMEYSHA BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 HUDSON LN STE 202, MONROE, LA 71201-6032
(318) 323-5700
Mailing address
1401 HUDSON LN, MONROE, LA 71201-6068
(318) 651-0086
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/29/2021
Last updated
01/14/2022
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