Provider Demographics
NPI:1104164441
Name:BYROM, ERIN DAWN (LPC)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:DAWN
Last Name:BYROM
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 VERNON ST
Mailing Address - Street 2:
Mailing Address - City:SAINT ROBERT
Mailing Address - State:MO
Mailing Address - Zip Code:65584-4606
Mailing Address - Country:US
Mailing Address - Phone:573-855-9144
Mailing Address - Fax:
Practice Address - Street 1:141 VERNON ST
Practice Address - Street 2:
Practice Address - City:SAINT ROBERT
Practice Address - State:MO
Practice Address - Zip Code:65584-4606
Practice Address - Country:US
Practice Address - Phone:573-855-9144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-22
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006030441101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional