Doctor Name: | LAUREN WIEST BARBIAN |
NPI Number: | 1144626524 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 5756 |
Business Practice Address: | 7511 St. Andrews Rd Suite 4 Irmo, SC - 29063 |
Business Phone Number: | 8035750509 |
Business Fax Number: | |
Mailing Address: | 7511 St. Andrews Rd, Suite 4 IRNO |
State: | SC |
Postal Code: | 29063 |
Phone Number: | 8035750509 |
Fax Number: | |
NPI Enumeration Date: | 11/12/2014 |
NPI Last Update Date: | 10/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 5756 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |