Provider Demographics
NPI:1629598040
Name:FARMER, MOLLY BARBIERI (LCSW)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:BARBIERI
Last Name:FARMER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:G
Other - Last Name:BARBIERI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:405 GALLERIA DRIVE, SUITE E
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655
Mailing Address - Country:US
Mailing Address - Phone:662-200-1960
Mailing Address - Fax:662-236-3071
Practice Address - Street 1:405 GALLERIA DRIVE, SUITE E
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655
Practice Address - Country:US
Practice Address - Phone:662-200-1960
Practice Address - Fax:662-236-3071
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-27
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSM7982251S00000X
MSC7982101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No251S00000XAgenciesCommunity/Behavioral Health