Provider Demographics
NPI:1033974571
Name:BARLOW, MOLLY DICKENS (LPC)
Entity Type:Individual
Prefix:MS
First Name:MOLLY
Middle Name:DICKENS
Last Name:BARLOW
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4106 NE COUNTY ROAD 1040
Mailing Address - Street 2:
Mailing Address - City:CORSICANA
Mailing Address - State:TX
Mailing Address - Zip Code:75109-5024
Mailing Address - Country:US
Mailing Address - Phone:903-875-4118
Mailing Address - Fax:
Practice Address - Street 1:219 W BROWN ST
Practice Address - Street 2:
Practice Address - City:ENNIS
Practice Address - State:TX
Practice Address - Zip Code:75119-4738
Practice Address - Country:US
Practice Address - Phone:972-875-8393
Practice Address - Fax:972-875-8393
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-14
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87370101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional