Provider Demographics
NPI:1346992781
Name:BARBER, MADELENE THOMAS (MC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:MADELENE
Middle Name:THOMAS
Last Name:BARBER
Suffix:
Gender:F
Credentials:MC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6603 IRONGATE SQ
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23234-6081
Mailing Address - Country:US
Mailing Address - Phone:804-743-0960
Mailing Address - Fax:804-396-2195
Practice Address - Street 1:6603 IRONGATE SQ
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23234-6081
Practice Address - Country:US
Practice Address - Phone:804-743-0960
Practice Address - Fax:804-396-2195
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-26
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701011183101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional