Provider Demographics
NPI:1922590397
Name:PLOURD, BARBARA J (LPC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:J
Last Name:PLOURD
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 1:7155 W CAMPO BELLO DR STE B110
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-8594
Mailing Address - Country:US
Mailing Address - Phone:623-218-6030
Mailing Address - Fax:
Practice Address - Street 1:7155 W CAMPO BELLO DR STE B110
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-8594
Practice Address - Country:US
Practice Address - Phone:623-218-6030
Practice Address - Fax:623-218-6032
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-01
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-17294101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ004982Medicaid
AZ003811Medicaid