Provider Demographics
NPI:1386861391
Name:BELANGER, BARBARA (MS, LPC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:BELANGER
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3765 S ALAMEDA ST STE 319
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-1672
Mailing Address - Country:US
Mailing Address - Phone:361-815-6910
Mailing Address - Fax:888-680-2764
Practice Address - Street 1:3765 S ALAMEDA ST STE 319
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-1672
Practice Address - Country:US
Practice Address - Phone:361-815-6910
Practice Address - Fax:888-680-2764
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16211101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113157504Medicaid
TX113157502Medicaid