Provider Demographics
NPI:1780817015
Name:AGRAN, BARBARA J (LMHC)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:J
Last Name:AGRAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:J
Other - Last Name:AGRON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA
Mailing Address - Street 1:2699 STIRLING RD
Mailing Address - Street 2:SUITE A 105
Mailing Address - City:FT. LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312
Mailing Address - Country:US
Mailing Address - Phone:954-401-8167
Mailing Address - Fax:954-713-6260
Practice Address - Street 1:2699 STIRLING RD
Practice Address - Street 2:SUITE A 105
Practice Address - City:FT. LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312
Practice Address - Country:US
Practice Address - Phone:954-401-8167
Practice Address - Fax:954-713-6260
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-03
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0000151101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health