Provider Demographics
NPI:1679300313
Name:BYERS, PATRICIA M (LPCC)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:M
Last Name:BYERS
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:MISHA
Other - Middle Name:
Other - Last Name:BYERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3519 N DOVE LOOP
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42301-0251
Mailing Address - Country:US
Mailing Address - Phone:270-302-6278
Mailing Address - Fax:
Practice Address - Street 1:3519 N DOVE LOOP
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42301-0251
Practice Address - Country:US
Practice Address - Phone:270-302-6278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-17
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY294180101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health