1326304387 NPI number — LIFEWORKS COUNSELING CENTER

Table of content: DR. EDWARD JOHN BARNOSKI PH.D. (NPI 1932134087)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326304387 NPI number — LIFEWORKS COUNSELING CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LIFEWORKS COUNSELING CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326304387
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/04/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1181 NASHVILLE PIKE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GALLATIN
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37066-3165
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-829-8018
Provider Business Mailing Address Fax Number:
615-824-4506

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1181 NASHVILLE PIKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GALLATIN
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37066-3165
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-829-8018
Provider Business Practice Location Address Fax Number:
615-824-4506
Provider Enumeration Date:
04/04/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
COOK
Authorized Official First Name:
RALPH
Authorized Official Middle Name:
DOUGLAS
Authorized Official Title or Position:
CLINICAL DIRECTOR
Authorized Official Telephone Number:
615-829-8018

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  LCSW0000004954 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 106H00000X , with the licence number: LMT0000000816 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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