Provider Demographics
NPI:1356687925
Name:BARKLEY, STACY LYNN (MSW)
Entity Type:Individual
Prefix:
First Name:STACY
Middle Name:LYNN
Last Name:BARKLEY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 COLECHESTER LN
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32137-9062
Mailing Address - Country:US
Mailing Address - Phone:724-944-2269
Mailing Address - Fax:
Practice Address - Street 1:111 COLECHESTER LN
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-9062
Practice Address - Country:US
Practice Address - Phone:724-944-2269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-29
Last Update Date:2012-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker