Provider Demographics
NPI:1447307079
Name:BYRD, GEOFFREY KENT (LPC)
Entity type:Individual
Prefix:
First Name:GEOFFREY
Middle Name:KENT
Last Name:BYRD
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 1:108 W CLIFFORD ST
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-4058
Mailing Address - Country:US
Mailing Address - Phone:540-665-1848
Mailing Address - Fax:540-662-2874
Practice Address - Street 1:108 W CLIFFORD ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-4058
Practice Address - Country:US
Practice Address - Phone:540-665-1848
Practice Address - Fax:540-662-2874
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2023-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701000829101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional