Provider Demographics
NPI:1255532115
Name:BARKSDALE, ANNA JAMES (MSCP, LPC, LLC)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:JAMES
Last Name:BARKSDALE
Suffix:
Gender:F
Credentials:MSCP, LPC, LLC
Other - Prefix:MRS
Other - First Name:ANNA
Other - Middle Name:JAMES
Other - Last Name:MOOREHEAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSCP, LPC
Mailing Address - Street 1:300 STATE ST
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36603-6425
Mailing Address - Country:US
Mailing Address - Phone:251-581-3400
Mailing Address - Fax:251-666-2314
Practice Address - Street 1:300 STATE ST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36603-6425
Practice Address - Country:US
Practice Address - Phone:251-581-3400
Practice Address - Fax:251-666-2314
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2778101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health