Provider Demographics
NPI:1013230663
Name:BARRY YEISER COUNSELING SERVICES INC.
Entity Type:Organization
Organization Name:BARRY YEISER COUNSELING SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:YEISER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:615-822-5425
Mailing Address - Street 1:236 OLD SHACKLE ISLAND RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-3115
Mailing Address - Country:US
Mailing Address - Phone:615-822-5425
Mailing Address - Fax:615-822-5553
Practice Address - Street 1:236 OLD SHACKLE ISLAND RD
Practice Address - Street 2:SUITE A
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3115
Practice Address - Country:US
Practice Address - Phone:615-822-5425
Practice Address - Fax:615-822-5553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-10
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN44231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty