Provider Demographics
NPI:1841752524
Name:BARCLAY, ANDERSON TOWNSEND (LPC, LCDC)
Entity Type:Individual
Prefix:
First Name:ANDERSON
Middle Name:TOWNSEND
Last Name:BARCLAY
Suffix:
Gender:M
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 W STOREY ST
Mailing Address - Street 2:
Mailing Address - City:SAN SABA
Mailing Address - State:TX
Mailing Address - Zip Code:76877-5710
Mailing Address - Country:US
Mailing Address - Phone:325-205-2653
Mailing Address - Fax:
Practice Address - Street 1:1203 FORD ST
Practice Address - Street 2:
Practice Address - City:LLANO
Practice Address - State:TX
Practice Address - Zip Code:78643-2611
Practice Address - Country:US
Practice Address - Phone:325-247-4477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-02
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14038101YA0400X
101YP1600X
TX76642101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX76642OtherTEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS
TX14038OtherTEXAS DEPARTMENT OF STATE HEALTH SERVICES