Provider Demographics
NPI:1538938261
Name:BARBOUR, VICTORIA A (LPCC)
Entity type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:A
Last Name:BARBOUR
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:657 S HURSTBOURNE PKWY UNIT 356
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-5095
Mailing Address - Country:US
Mailing Address - Phone:502-240-2602
Mailing Address - Fax:
Practice Address - Street 1:13121 EASTPOINT PARK BLVD STE F
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40223-4192
Practice Address - Country:US
Practice Address - Phone:502-240-2602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-21
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY288809101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional