Provider Demographics
NPI:1841385671
Name:BARNARD, MARGO (LPC)
Entity Type:Individual
Prefix:
First Name:MARGO
Middle Name:
Last Name:BARNARD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:MARGO
Other - Last Name:BARNARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1774 SHADY GROVE ROAD
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:GA
Mailing Address - Zip Code:30116
Mailing Address - Country:US
Mailing Address - Phone:770-546-3449
Mailing Address - Fax:770-832-9892
Practice Address - Street 1:1774 SHADY GROVE ROAD
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:GA
Practice Address - Zip Code:30116
Practice Address - Country:US
Practice Address - Phone:770-546-3449
Practice Address - Fax:770-832-9892
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA01506101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional