Individual
LAURA D BYARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
300 MEDICAL DR, STE 705, LAGRANGE, GA 30240-4130
(706) 885-0111
(706) 885-0607
Mailing address
300 MEDICAL DR, STE 705, LAGRANGE, GA 30240
(706) 885-0111
(706) 885-0607
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
004413
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
894630531A
—
GA
Enumeration date
12/31/2007
Last updated
05/16/2008
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