Provider Demographics
NPI:1275304305
Name:BARCLAY, AMANDA DENISE
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:DENISE
Last Name:BARCLAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6800 RAINWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-7540
Mailing Address - Country:US
Mailing Address - Phone:972-704-9604
Mailing Address - Fax:
Practice Address - Street 1:5700 W PLANO PKWY STE 3600
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-2455
Practice Address - Country:US
Practice Address - Phone:469-829-7516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84873101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor