Provider Demographics
NPI:1902275431
Name:BYUS, CARMELA D (MED, LPC, LICDC)
Entity type:Individual
Prefix:
First Name:CARMELA
Middle Name:D
Last Name:BYUS
Suffix:
Gender:
Credentials:MED, LPC, LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 N MARKET ST
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:OH
Mailing Address - Zip Code:45103-2906
Mailing Address - Country:US
Mailing Address - Phone:513-409-3635
Mailing Address - Fax:513-409-0408
Practice Address - Street 1:3476 SMYRNA RD
Practice Address - Street 2:
Practice Address - City:FELICITY
Practice Address - State:OH
Practice Address - Zip Code:45120-9753
Practice Address - Country:US
Practice Address - Phone:513-859-6518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-15
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLICDC.162237101YA0400X
OHC.2304908101YP2500X
OHLCDCII.161031101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)