Provider Demographics
NPI:1568631174
Name:ENGLAND, BARRY A (LPC)
Entity Type:Individual
Prefix:MR
First Name:BARRY
Middle Name:A
Last Name:ENGLAND
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5679 WOODSTREAM RD
Mailing Address - Street 2:
Mailing Address - City:RANDLEMAN
Mailing Address - State:NC
Mailing Address - Zip Code:27317-8174
Mailing Address - Country:US
Mailing Address - Phone:336-456-2622
Mailing Address - Fax:
Practice Address - Street 1:5679 WOODSTREAM RD
Practice Address - Street 2:
Practice Address - City:RANDLEMAN
Practice Address - State:NC
Practice Address - Zip Code:27317-8174
Practice Address - Country:US
Practice Address - Phone:336-456-2622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4765101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional