Provider Demographics
NPI:1346505849
Name:O'BARR, MONTICA ANNE (LPC, LCDC)
Entity Type:Individual
Prefix:MRS
First Name:MONTICA
Middle Name:ANNE
Last Name:O'BARR
Suffix:
Gender:F
Credentials:LPC, LCDC
Other - Prefix:MRS
Other - First Name:MONTICA
Other - Middle Name:ANNE
Other - Last Name:LEITNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, LCDC
Mailing Address - Street 1:142 FROST CREEK RD
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75167-8204
Mailing Address - Country:US
Mailing Address - Phone:903-484-4247
Mailing Address - Fax:
Practice Address - Street 1:142 FROST CREEK RD
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75167-8204
Practice Address - Country:US
Practice Address - Phone:903-484-4247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-10
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69764101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional