Provider Demographics
NPI:1184857005
Name:BARCLAY, ADRIENNE L
Entity type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:L
Last Name:BARCLAY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:ADRIENNE
Other - Middle Name:L
Other - Last Name:PACKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:431 LOGANS CIR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-1305
Mailing Address - Country:US
Mailing Address - Phone:615-948-8612
Mailing Address - Fax:
Practice Address - Street 1:5217 MARYLAND WAY STE 307
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-1056
Practice Address - Country:US
Practice Address - Phone:615-882-1792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-26
Last Update Date:2025-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00000144051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical