Laura D Byard, LPC | |
300 Medical Dr, Ste 705, Lagrange, GA 30240-4130 | |
(706) 885-0111 | |
(706) 885-0607 |
Full Name | Laura D Byard |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 300 Medical Dr, Lagrange, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427233147 | NPI | - | NPPES |
894630531A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 004413 (Georgia) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826 |
Mailing Address | Practice Location Address |
---|---|
Laura D Byard, LPC 300 Medical Dr, Ste 705, Lagrange, GA 30240 Ph: (706) 885-0111 | Laura D Byard, LPC 300 Medical Dr, Ste 705, Lagrange, GA 30240-4130 Ph: (706) 885-0111 |
Martha Lynne Earley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240 Phone: 706-845-4054 Fax: 706-845-4367 | |
Mr. Walter Hue Scott Ii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2233 West Point Rd., Lagrange, GA 30240 Phone: 706-837-0045 Fax: 706-837-0035 | |
Renonda Michelle Forney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2233 W Point Rd, Lagrange, GA 30240 Phone: 706-837-0045 Fax: 706-837-0035 | |
Holly T Roberts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1111 Mooty Bridge Rd, Lagrange, GA 30240 Phone: 706-443-5433 | |
Christopher Blake Glaze, Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240 Phone: 706-845-4045 | |
Elizabeth Billiter, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 C Gordon Commercial Dr, Lagrange, GA 30240 Phone: 706-845-4045 Fax: 706-845-4367 | |
Ms. Baxlee Bynum, M.ED, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Gordon Commercial Dr, Lagrange, GA 30240 Phone: 706-845-4045 Fax: 706-845-4367 |