Provider Demographics
NPI:1669283198
Name:BARR, STEPHANIE S (ALC)
Entity type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:S
Last Name:BARR
Suffix:
Gender:F
Credentials:ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11623 LAKE NICOL RD
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-9319
Mailing Address - Country:US
Mailing Address - Phone:601-686-1785
Mailing Address - Fax:
Practice Address - Street 1:3500 SKYLAND BLVD E
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35405-4558
Practice Address - Country:US
Practice Address - Phone:205-391-3131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty