Provider Demographics
NPI:1972026045
Name:BARBER, JOHN ALAN (LMSW)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:ALAN
Last Name:BARBER
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:443 COLLINS RD
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30512-7152
Mailing Address - Country:US
Mailing Address - Phone:770-815-6458
Mailing Address - Fax:
Practice Address - Street 1:168 ROGERS ST STE 3
Practice Address - Street 2:
Practice Address - City:BLAIRSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30512-3693
Practice Address - Country:US
Practice Address - Phone:770-815-6458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-20
Last Update Date:2017-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALMSW2468104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker