Provider Demographics
NPI:1508315623
Name:LI-BARBER, TROY ALLEN (LPCA, NCC)
Entity Type:Individual
Prefix:
First Name:TROY
Middle Name:ALLEN
Last Name:LI-BARBER
Suffix:
Gender:M
Credentials:LPCA, NCC
Other - Prefix:
Other - First Name:TROY
Other - Middle Name:ALLEN
Other - Last Name:BARBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:336-718-3960
Mailing Address - Fax:336-718-3998
Practice Address - Street 1:2821 MAPLEWOOD AVE
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-4137
Practice Address - Country:US
Practice Address - Phone:336-718-3960
Practice Address - Fax:336-718-3998
Is Sole Proprietor?:No
Enumeration Date:2016-09-30
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA11598101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health