Provider Demographics
NPI:1710934963
Name:WINSTEAD, BARRY G (LMFT)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:G
Last Name:WINSTEAD
Suffix:
Gender:M
Credentials:LMFT
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 6728
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40206-0728
Mailing Address - Country:US
Mailing Address - Phone:502-327-4622
Mailing Address - Fax:502-327-4675
Practice Address - Street 1:918 ORMSBY LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40242-4536
Practice Address - Country:US
Practice Address - Phone:502-327-4622
Practice Address - Fax:502-327-4675
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY106665106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100281470Medicaid
KY535887000OtherMAGAELLAN
KY502014OtherVALUE OPTIONS