Provider Demographics
NPI:1063425841
Name:BYERLEY, LISBETH LA (MA LPC)
Entity type:Individual
Prefix:
First Name:LISBETH
Middle Name:LA
Last Name:BYERLEY
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6004 VIENNA WAY
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-5005
Mailing Address - Country:US
Mailing Address - Phone:517-646-8527
Mailing Address - Fax:
Practice Address - Street 1:6004 VIENNA WAY
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-5005
Practice Address - Country:US
Practice Address - Phone:517-281-0641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401005588101Y00000X
MI101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1008952200OtherBCBS OF MI