Provider Demographics
NPI:1891085445
Name:BARSKY, CANDICE SAPIRO (MA)
Entity Type:Individual
Prefix:MRS
First Name:CANDICE
Middle Name:SAPIRO
Last Name:BARSKY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MRS
Other - First Name:CANDICE
Other - Middle Name:SAPIRO
Other - Last Name:HICKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6735 CONROY RD.
Mailing Address - Street 2:SUITE 207
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-3571
Mailing Address - Country:US
Mailing Address - Phone:407-790-9584
Mailing Address - Fax:407-477-5514
Practice Address - Street 1:6735 CONROY RD.
Practice Address - Street 2:SUITE 207
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-3571
Practice Address - Country:US
Practice Address - Phone:407-790-9584
Practice Address - Fax:407-477-5514
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-17
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 10618101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZO3K3OtherBLUECROSS BLUESHIELD OF FLORIDA