Provider Demographics
NPI:1538258595
Name:SWOPE, BARRY SCOTT (MS, LPC)
Entity type:Individual
Prefix:
First Name:BARRY
Middle Name:SCOTT
Last Name:SWOPE
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6642 PARK DR
Mailing Address - Street 2:STE B
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-5253
Mailing Address - Country:US
Mailing Address - Phone:251-625-6448
Mailing Address - Fax:251-625-6428
Practice Address - Street 1:6642 PARK DR
Practice Address - Street 2:STE B
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-5253
Practice Address - Country:US
Practice Address - Phone:251-625-6448
Practice Address - Fax:251-625-6428
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2628101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL339002105Medicaid