Healthcare Provider Details

I. General information

NPI: 1083822456
Provider Name (Legal Business Name): NANCY BARR LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 SUN CITY BLVD STE 120-474
GEORGETOWN TX
78633-5350
US

IV. Provider business mailing address

1530 SUN CITY BLVD STE 120-474
GEORGETOWN TX
78633-5350
US

V. Phone/Fax

Practice location:
  • Phone: 615-499-9673
  • Fax:
Mailing address:
  • Phone: 615-499-9673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number202263
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number727
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: