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Organization

BYRD COUNSELING & CONSULTING, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KATRICE LACHELLE BYRD MSW, LCSW (OWNER/THERAPIST)
(678) 522-5729
Entity
Organization

Contact information

Practice address
18151 W CATAWBA AVE, CORNELIUS, NC 28031-5641
(704) 621-4308
Mailing address
5119 INGLEBURN LN, HUNTERSVILLE, NC 28078-7760
(678) 522-5729

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1487119442
NC
05
1487194692
NC
05
1487194692
SC
Enumeration date
02/04/2019
Last updated
03/04/2019
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