Provider Demographics
NPI:1902813116
Name:SPROTT, BARBARA ANN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:ANN
Last Name:SPROTT
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 1:174 S GUADALUPE ST
Mailing Address - Street 2:SUITE 109
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-5567
Mailing Address - Country:US
Mailing Address - Phone:512-395-5458
Mailing Address - Fax:
Practice Address - Street 1:174 S GUADALUPE ST
Practice Address - Street 2:SUITE 109
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-5567
Practice Address - Country:US
Practice Address - Phone:512-395-5458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18962101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6606LCOtherBCBS ID NUMBER