Provider Demographics
NPI:1720114861
Name:ROBERTS, BARBARA G (LCSW, LPC, LCDC)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:G
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:LCSW, LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3764 CARLON ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-3702
Mailing Address - Country:US
Mailing Address - Phone:832-443-1956
Mailing Address - Fax:
Practice Address - Street 1:3764 CARLON ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-3702
Practice Address - Country:US
Practice Address - Phone:832-443-1956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6218101Y00000X
TXS02973101YM0800X
TX5577101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional