Provider Demographics
NPI:1548025471
Name:BARR, SAMUEL LESTER
Entity type:Individual
Prefix:
First Name:SAMUEL
Middle Name:LESTER
Last Name:BARR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:372 DEPOT ST STE 20
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4370
Mailing Address - Country:US
Mailing Address - Phone:828-845-8192
Mailing Address - Fax:828-417-3505
Practice Address - Street 1:372 DEPOT ST STE 20
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4370
Practice Address - Country:US
Practice Address - Phone:828-845-8192
Practice Address - Fax:828-417-3505
Is Sole Proprietor?:No
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA19715101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health