Individual
MRS. MARY D. BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP, PC, LIMHP
Contact information
Practice address
1710 N 144TH ST, OMAHA, NE 68154-4715
(402) 651-4673
Mailing address
16023 LINDENWOOD CIR, BENNINGTON, NE 68007-7443
(402) 651-4673
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1258
NE
101Y00000X
Counselor
819
NE
101YM0800X
Mental Health Counselor
Primary
1180
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025123100
—
NE
Enumeration date
09/23/2006
Last updated
12/12/2016
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