Healthcare Provider Details

I. General information

NPI: 1316477755
Provider Name (Legal Business Name): REBECCA BARCLAY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2017
Last Update Date: 09/27/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 E LOUTHER ST STE 225
CARLISLE PA
17013-2611
US

IV. Provider business mailing address

401 E LOUTHER ST STE 225
CARLISLE PA
17013-2611
US

V. Phone/Fax

Practice location:
  • Phone: 717-601-2440
  • Fax:
Mailing address:
  • Phone: 717-601-2440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701013558
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC010143
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC010143
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLC10221
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC10221
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: