Provider Demographics
NPI:1497826895
Name:BARKLEY, PAUL H (LPC & LMFT)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:H
Last Name:BARKLEY
Suffix:
Gender:M
Credentials:LPC & LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6510 STAGE RD
Mailing Address - Street 2:SUITE #3
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38134-3892
Mailing Address - Country:US
Mailing Address - Phone:901-372-6764
Mailing Address - Fax:901-372-9462
Practice Address - Street 1:6510 STAGE RD
Practice Address - Street 2:SUITE #3
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38134-3892
Practice Address - Country:US
Practice Address - Phone:901-372-6764
Practice Address - Fax:901-372-9462
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN659101YP2500X
TN116106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist