Provider Demographics
NPI:1679637813
Name:BARAS, ADELE G (MED,LPC,NCC)
Entity Type:Individual
Prefix:MS
First Name:ADELE
Middle Name:G
Last Name:BARAS
Suffix:
Gender:F
Credentials:MED,LPC,NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2406 CHRISTOPHER PL
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35243-5652
Mailing Address - Country:US
Mailing Address - Phone:205-871-3919
Mailing Address - Fax:205-871-3922
Practice Address - Street 1:2000 SOUTHBRIDGE PKWY # A
Practice Address - Street 2:SUITE 406
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-1303
Practice Address - Country:US
Practice Address - Phone:205-871-3919
Practice Address - Fax:205-871-3922
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALAL1334101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor