1255532115 NPI number — MRS. ANNA JAMES BARKSDALE MSCP, LPC, LLC

Table of content: MRS. ANNA JAMES BARKSDALE MSCP, LPC, LLC (NPI 1255532115)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255532115 NPI number — MRS. ANNA JAMES BARKSDALE MSCP, LPC, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BARKSDALE
Provider First Name:
ANNA
Provider Middle Name:
JAMES
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MSCP, LPC, LLC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MOOREHEAD
Provider Other First Name:
ANNA
Provider Other Middle Name:
JAMES
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSCP, LPC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1255532115
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/08/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
300 STATE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MOBILE
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36603-6425
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
251-581-3400
Provider Business Mailing Address Fax Number:
251-666-2314

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 STATE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOBILE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36603-6425
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
251-581-3400
Provider Business Practice Location Address Fax Number:
251-666-2314
Provider Enumeration Date:
05/29/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  2778 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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