Provider Demographics
NPI:1548462252
Name:BYERS-BLAKSMITH, LINDA S (LMSW)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:S
Last Name:BYERS-BLAKSMITH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 W DOWNIE ST
Mailing Address - Street 2:PO BOX 453
Mailing Address - City:ALMA
Mailing Address - State:MI
Mailing Address - Zip Code:48801-1620
Mailing Address - Country:US
Mailing Address - Phone:989-463-8738
Mailing Address - Fax:989-224-6146
Practice Address - Street 1:209 W DOWNIE ST
Practice Address - Street 2:
Practice Address - City:ALMA
Practice Address - State:MI
Practice Address - Zip Code:48801-1620
Practice Address - Country:US
Practice Address - Phone:989-463-8738
Practice Address - Fax:989-224-6146
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010148621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical