Individual
MRS. EDITH BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC007444
Contact information
Practice address
15 PERRY ST, NEWNAN, GA 30263-1918
(678) 423-3200
(770) 683-3029
Mailing address
PO BOX 72001, NEWNAN, GA 30271-2001
(678) 423-3200
(770) 683-3029
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007444
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003150243A
—
GA
Enumeration date
02/27/2015
Last updated
08/19/2021
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