Provider Demographics
NPI:1710294459
Name:BARBOUR, JAMES A JR (MS, LCMHCS, LCAS)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:A
Last Name:BARBOUR
Suffix:JR
Gender:M
Credentials:MS, LCMHCS, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 30854
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27833-0854
Mailing Address - Country:US
Mailing Address - Phone:252-414-0534
Mailing Address - Fax:252-624-0089
Practice Address - Street 1:601 COUNTRY CLUB DR STE C
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-6124
Practice Address - Country:US
Practice Address - Phone:252-414-0534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-01
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCS7996101YP2500X
NC1668101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)