Provider Demographics
NPI:1386392041
Name:DURHAM, BARTON C (LPC, LCDC)
Entity type:Individual
Prefix:
First Name:BARTON
Middle Name:C
Last Name:DURHAM
Suffix:
Gender:M
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13121 LOUETTA RD., PMB 1350
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-5155
Mailing Address - Country:US
Mailing Address - Phone:409-420-4431
Mailing Address - Fax:
Practice Address - Street 1:26202 OAK RIDGE DR # B-202
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-1994
Practice Address - Country:US
Practice Address - Phone:409-420-4431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-12
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15435101YA0400X
TX84915101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty