Healthcare Provider Details

I. General information

NPI: 1740385962
Provider Name (Legal Business Name): THOMAS N. BARBIAN PH.D., LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 LADY ST
COLUMBIA SC
29201-3402
US

IV. Provider business mailing address

1500 LADY ST
COLUMBIA SC
29201-3402
US

V. Phone/Fax

Practice location:
  • Phone: 803-779-1995
  • Fax: 803-779-7881
Mailing address:
  • Phone: 803-779-1995
  • Fax: 803-779-7881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2665
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: