Provider Demographics
NPI:1437716669
Name:BARRY, ANNA R (LPC)
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:R
Last Name:BARRY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:ANNA
Other - Middle Name:ROSE
Other - Last Name:BARRY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:9533 LOSA DR STE 2
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-3572
Mailing Address - Country:US
Mailing Address - Phone:214-320-9276
Mailing Address - Fax:
Practice Address - Street 1:9533 LOSA DR STE 2
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-3572
Practice Address - Country:US
Practice Address - Phone:214-320-9276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-23
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1467101Y00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional