1659438703 NPI number — STEVEN BARLOW LPC

Table of content: STEVEN BARLOW LPC (NPI 1659438703)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659438703 NPI number — STEVEN BARLOW LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BARLOW
Provider First Name:
STEVEN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LPC
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
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:
1659438703
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/20/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1009 N GEORGETOWN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROUND ROCK
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78664-3289
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-255-1720
Provider Business Mailing Address Fax Number:
512-244-8403

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
325 WALLACE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEGUIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78155-5959
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
830-379-8222
Provider Business Practice Location Address Fax Number:
830-303-7616
Provider Enumeration Date:
01/01/2007

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: 101YA0400X , with the licence number:  C1124 (CADAC IV) , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YP2500X , with the licence number: 14357 (LPC) , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 5878-01 . This is a "PACIFICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: BARLOWST . This is a "CORPHEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 248644 . This is a "COMPSYCH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3868LC . This is a "BCBS-TX" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: STEVE BARLOW . This is a "COMPCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 095822503 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 548289 . This is a "VALUE OPTIONS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9390598 . This is a "PHCS" identifier . This identifiers is of the category "OTHER".




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