Provider Demographics
NPI:1487948725
Name:BARKSDALE, B J (LPC)
Entity type:Individual
Prefix:MS
First Name:B
Middle Name:J
Last Name:BARKSDALE
Suffix:
Gender:F
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:PO BOX 6373
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77491-6373
Mailing Address - Country:US
Mailing Address - Phone:281-686-0069
Mailing Address - Fax:281-392-8228
Practice Address - Street 1:402 PICKFORD DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2324
Practice Address - Country:US
Practice Address - Phone:281-686-0069
Practice Address - Fax:281-392-8228
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-03
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14204101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health