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Elizabeth B Byrd

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Elizabeth B Byrd does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1598872608
Provider Type
Individual
Full Name
Byrd, Elizabeth B
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
8/24/2006
Last Updated
3/17/2017

Contact Information

Practice Location

1677 York Ave, Memphis, TN 38104-5128

(901) 274-1868

(901) 309-8784

Mailing Location

1677 York Ave, Ste 230, Memphis, TN 38104-5128

(901) 683-5511

(901) 309-8784

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 3706432 Tennessee

Provider Identifiers

ID	Description	Issuer
ID 3987188	Description Medicaid	Issuer Unlisted Tennessee

Elizabeth B Byrd

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Kelly, Deborah Lynn

Irby, Kimery

Owens, Jacquelyn Ann

Abraham, Jane

Keeling-Nuttall, Pamela Lynn

Longmire Counseling Services, Llc

Barton, Sheila Judge

Tharpe, Robert

Alvarez, Julie Marie Gibson

Coleman, Tracie