1912013053 NPI number — MR. WILLIAM R BARLING LCSW

Table of content: MR. WILLIAM R BARLING LCSW (NPI 1912013053)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912013053 NPI number — MR. WILLIAM R BARLING LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BARLING
Provider First Name:
WILLIAM
Provider Middle Name:
R
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
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:
1912013053
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 5789
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NO LITTLE ROCK
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
72119
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
501-758-4671
Provider Business Mailing Address Fax Number:
501-758-4704

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2200 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NO LITTLE ROCK
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
501-758-4671
Provider Business Practice Location Address Fax Number:
501-758-4704
Provider Enumeration Date:
08/22/2006

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:  C312 , registered in the state of AR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: A004 . This is a "TRICARE" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com