Healthcare Provider Details

I. General information

NPI: 1962751644
Provider Name (Legal Business Name): PATRICK ROBERT BARRETT MA, LPC, LCAS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2012
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 S CHESTNUT ST
GASTONIA NC
28054-4548
US

IV. Provider business mailing address

175 W FRANKLIN BLVD
GASTONIA NC
28052-4145
US

V. Phone/Fax

Practice location:
  • Phone: 704-865-3525
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number9131
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: