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BASIRAH CHANEL BYRD LAC
NPI 1366151748
Counselor - Mental Health in Eatontown, NJ

Active since November 15, 2022
2 INDUSTRIAL WAY W STE 203, EATONTOWN, NJ 07724(732) 982-2888 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 8, 2024, Nov 15, 2022 (2 updates tracked since 2022).

About Basirah Chanel Byrd Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BASIRAH CHANEL BYRD LAC (NPI 1366151748) is an individual mental health provider in Eatontown, New Jersey, licensed in New Jersey (37AC00786300) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1366151748
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBASIRAH CHANEL BYRDCredential: LAC
Location Address2 INDUSTRIAL WAY W STE 203Eatontown, NJ 07724-2266
Mailing Address2 Industrial Way W Ste 203Eatontown, NJ 07724-2266 · (732) 982-2888
Phone(732) 982-2888
Sole ProprietorYes
Enumeration DateNovember 15, 2022
Last NPPES UpdateApril 8, 20242 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
✔ NPI 1366151748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NJ · 37AC00786300
Also ListedBehavior AnalystTaxonomy 103K00000X
2 INDUSTRIAL WAY W STE 203, Eatontown, NJ 07724
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SHANIYAH NICOLE MATTHEWS LAC
Counselor (Mental Health)
2 INDUSTRIAL WAY W STE 203
EATONTOWN, NJ 07724
Monmouth County (732) 982-2888
MS. JESSIE ELIZABETH TAMARGO LAC
Counselor (Mental Health)
2 INDUSTRIAL WAY W STE 203
EATONTOWN, NJ 07724
Monmouth County (848) 444-4308
MEAGAN ROTH LAC
Counselor (Professional)
2 INDUSTRIAL WAY W STE 203
EATONTOWN, NJ 07724
Monmouth County (848) 444-4308
DR. DORA ISABEL DUQUE M.D.
Psychiatry & Neurology (Psychiatry)
2 INDUSTRIAL WAY W STE 203
EATONTOWN, NJ 07724
Monmouth County (732) 982-2888
MRS. ANDREA ROSE BUELO-VITOLLO MS. LPC, NCC
Counselor (Professional)
2 INDUSTRIAL WAY W STE 203
EATONTOWN, NJ 07724
Monmouth County (732) 982-2888
AGNIESZKA RACZYNSKI LMFT
Marriage & Family Therapist
2 INDUSTRIAL WAY W STE 203
EATONTOWN, NJ 07724
Monmouth County (732) 982-2888
MEGHAN GREEN LPC
Counselor (Professional)
2 INDUSTRIAL WAY W STE 203
EATONTOWN, NJ 07724
Monmouth County (732) 982-2888
DR. TAYLOR DIGRAVINA PSYD
Psychologist (Clinical)
2 INDUSTRIAL WAY W STE 203
EATONTOWN, NJ 07724
Monmouth County (732) 982-2888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Basirah Byrd's NPI number?

The NPI number for Basirah Byrd is 1366151748. It was assigned to this individual provider in the NPPES registry on November 15, 2022.

Where is Basirah Byrd located?

Basirah Byrd practices at 2 Industrial Way W Ste 203, Eatontown, NJ 07724. The listed phone number is (732) 982-2888.

What is Basirah Byrd's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Basirah Byrd was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.