Provider Demographics
NPI:1043537574
Name:LABARDEE, LYLE L (LPC)
Entity type:Individual
Prefix:
First Name:LYLE
Middle Name:L
Last Name:LABARDEE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2411 BYRON STATION DR., SW
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BYRON CENTER
Mailing Address - State:MI
Mailing Address - Zip Code:49315-8412
Mailing Address - Country:US
Mailing Address - Phone:616-724-6943
Mailing Address - Fax:
Practice Address - Street 1:7791 BYRON CENTER AVE SW
Practice Address - Street 2:
Practice Address - City:BYRON CENTER
Practice Address - State:MI
Practice Address - Zip Code:49315-8412
Practice Address - Country:US
Practice Address - Phone:616-724-6943
Practice Address - Fax:888-336-9355
Is Sole Proprietor?:No
Enumeration Date:2010-04-23
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401003943101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional