Provider Demographics
NPI:1528851698
Name:BYRDEN-GURLEY, ALICIA (BSW, MS)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:BYRDEN-GURLEY
Suffix:
Gender:F
Credentials:BSW, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1218 PARKER AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-3920
Mailing Address - Country:US
Mailing Address - Phone:229-327-6560
Mailing Address - Fax:
Practice Address - Street 1:1218 PARKER AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-3920
Practice Address - Country:US
Practice Address - Phone:229-327-6560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPCH012186310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility