Provider Demographics
NPI:1588266431
Name:WINLEY, BARRY J (MA, NCC, LMHC)
Entity type:Individual
Prefix:
First Name:BARRY
Middle Name:J
Last Name:WINLEY
Suffix:
Gender:M
Credentials:MA, NCC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:547 W 147TH ST APT F2
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10031-4445
Mailing Address - Country:US
Mailing Address - Phone:646-498-0737
Mailing Address - Fax:
Practice Address - Street 1:547 W 147TH ST APT F2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10031-4445
Practice Address - Country:US
Practice Address - Phone:646-498-0737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-14
Last Update Date:2020-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003955-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health