Barry J. Bouillion Jr., Ma, LPC, LMFT, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BARRY J. BOUILLION JR., MA, LPC, LMFT, LLC

Practice address

3380 Trickum Rd BLDG 700
Woodstock, GA 30188-3680

Phone

(601) 398-6797

NPI assigned

Oct 3, 2018

Last updated

Oct 3, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Barry James Bouillion Jr., LPC, LMFTNPI 1952781239

Title

Licensed Professional Counselor

Phone

(601) 398-6797

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Barry James Bouillion Jr., LPC

  • Professional Counselor
  • Lafayette, LA
  • NPI 1952781239
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1881179091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 KNOTTS CIR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884569",
            "telephone_number": "601-398-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 TRICKUM RD BLDG 700",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883680",
            "telephone_number": "601-398-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY J. BOUILLION JR., MA, LPC, LMFT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "BOUILLION",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "601-398-6797",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Marie Ballinger, BCBA
• Julie Lynn Banks, PA-C
• Natalie Barbee
• Shannon Brookshire Barnes, LPC
• Briar Barrow, BS, RBT
• Heather W Barry, PHARMD
• Caitlin Barsin, MSW
• Basic Chiropractic
• Marcie Basiletti, CCC-SLP
• Erin Victoria Batarseh

• Adult Mental Health Clinic/Center in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Adult Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.