Basirah C Byrd, LAC
Counselor, Mental Health in Eatontown, New Jersey
1366151748- Practice location
- 2 Industrial Way W Ste 203, Eatontown, NJ 07724-2266
- Phone
- 732-982-2888
- Fax
- —
- Last updated
- April 8, 2024
Basirah Chanel Byrd is a Counselor, Mental Health based in Eatontown, NJ. Basirah Chanel Byrd practices in Eatontown, NJ and has the professional credentials of LAC. The NPI Number for Basirah Chanel Byrd is 1366151748 and holds a License No. 37AC00786300 (NJ). The current practice location address for Basirah Chanel Byrd is 2 Industrial Way W Ste 203, Eatontown, NJ 07724-2266 and can be reached out via phone at 732-982-2888.
Provider Profile Details
- NPI Number
- 1366151748
- Provider Name
- Basirah Chanel Byrd
- Credential
- LAC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2 Industrial Way W Ste 203, Eatontown, NJ 07724-2266
- Phone Number
- 732-982-2888
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 15, 2022
- Last Update Date
- April 8, 2024
- Certification Date
- April 8, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2 Industrial Way W Ste 203
Eatontown, NJ 07724-2266 - City
- Eatontown
- State
- New Jersey
- Zip
- 07724-2266
- Phone Number
- 732-982-2888
Provider Business Mailing Address Details
- Address
- 2 Industrial Way W Ste 203
Eatontown, NJ 07724-2266 - City
- Eatontown
- State
- NJ
- Zip
- 07724-2266
- Phone Number
- 732-982-2888
License Information
- Taxonomy (1)
- Behavior Analyst · 103K00000X
- License Number (2)
- 37AC00786300
- License State (2)
- NJ
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Eatontown, NJ
View all Counselor, Mental Health providers in Eatontown →- Alisa PallittoCounselor, Mental Health · NPI 1962330886
- Amanda L Brower, LACCounselor, Mental Health · NPI 1831936764
- Ariel BarterCounselor, Mental Health · NPI 1194606459
- Brett Benedetti, LACCounselor, Mental Health · NPI 1598606634
- Brian FredaCounselor, Mental Health · NPI 1144044298
- Brooke Sirota, LAC, NCCCounselor, Mental Health · NPI 1881146942
Frequently Asked Questions
What is the NPI number of Basirah C Byrd, LAC?
The NPI number of Basirah C Byrd, LAC is 1366151748. It was assigned on November 15, 2022 and is currently active in the NPPES registry.
What is the specialty of Basirah C Byrd, LAC?
Basirah C Byrd, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00786300.
Where does Basirah C Byrd, LAC practice?
The practice location is 2 Industrial Way W Ste 203, Eatontown, NJ 07724-2266. The office can be reached at 732-982-2888 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366151748 directly on the NPPES registry website.