Provider Demographics
NPI:1649722208
Name:CHAPMAN, BARRY SCOTT (LPC)
Entity type:Individual
Prefix:
First Name:BARRY
Middle Name:SCOTT
Last Name:CHAPMAN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 ALI AVE
Mailing Address - Street 2:
Mailing Address - City:HINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31313-3812
Mailing Address - Country:US
Mailing Address - Phone:912-332-2928
Mailing Address - Fax:
Practice Address - Street 1:115 ALI AVE
Practice Address - Street 2:
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31313-3812
Practice Address - Country:US
Practice Address - Phone:912-332-2928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-31
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC009210101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional