Provider Demographics
NPI:1548392640
Name:NAUGLE, BARBARA ANNE (LMFT, LPC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANNE
Last Name:NAUGLE
Suffix:
Gender:F
Credentials:LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1603 OAKLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-4626
Mailing Address - Country:US
Mailing Address - Phone:252-367-9377
Mailing Address - Fax:252-756-9040
Practice Address - Street 1:1928 FORT BRAGG RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-6806
Practice Address - Country:US
Practice Address - Phone:252-367-9377
Practice Address - Fax:252-756-9040
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2009-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4426101YP2500X
NC1029106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6105112Medicaid