Provider Demographics
NPI:1013787894
Name:GARY BARKER COUNSELING SERVICES
Entity Type:Organization
Organization Name:GARY BARKER COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BARKER
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:270-315-3571
Mailing Address - Street 1:5249 TRIFECTA PL
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42301-6593
Mailing Address - Country:US
Mailing Address - Phone:270-315-3571
Mailing Address - Fax:270-215-1116
Practice Address - Street 1:2309 FREDERICA ST
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42301-4827
Practice Address - Country:US
Practice Address - Phone:270-315-3571
Practice Address - Fax:270-215-1116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty