Barb Shepard Licensed Mental Health Counselor PLLC

Organization Active NPI Mental Health Counselor · Fayetteville, NY

NPI 1053045005 · NPPES record last updated Jul 14, 2022

Key facts

NPI
1053045005
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Counselor 101YM0800X
Legal business name
BARB SHEPARD LICENSED MENTAL HEALTH COUNSELOR PLLC
Practice address
7000 East Genesee Street
Building C
Fayetteville, NY 13066
Phone
(315) 313-4075
NPI assigned
Jul 14, 2022
Organization subpart
No

Authorized official

Name
Barbara Shepard, LMHC
Title
Owner
Phone
(315) 313-4075

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X Yes

Addresses

Primary practice location

7000 East Genesee Street
Building C
Fayetteville, NY 13066

Mailing address

134 Hathaway Rd
De Witt, NY 13214-1936
Phone (131) 548-1639

Other identifiers

IdentifierTypeStateIssuer
008001OtherNYNEW YORK STATE OFFICE OF THE PROFESSIONS (LICENSE NUMBER)

Other names

  • Barb Shepard, LMHC Former legal business name

Other providers in Fayetteville, NY

All providers in Fayetteville, NY · Mental Health Counselor in New York

Sources for this page

Verify at the official NPI Registry.