Provider Demographics
NPI:1831296565
Name:GADDY, BARBARA A (LPC)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:A
Last Name:GADDY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2528 VINCENT AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23509-2340
Mailing Address - Country:US
Mailing Address - Phone:757-624-6990
Mailing Address - Fax:757-624-6992
Practice Address - Street 1:2129 VINCENT AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23504-3120
Practice Address - Country:US
Practice Address - Phone:757-624-6990
Practice Address - Fax:757-624-6992
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004044101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor