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NPI Code Detail

MEDICARE: MS. BARBARA BALLARD NCC,LPC

MEDICARE: MS. BARBARA BALLARD NCC,LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor2001023748MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11-10SMZOTHERTXINSURANCE CO.
2377749OTHERCAINSURANCE CO.
311563857OTHERKYUNIVERSAL CREDENTIALING
4209978OTHERMOBLUE CROSS AND BLUE SHIEL

General Provider Information

NPI Number : 1144395351
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BARBARA BALLARD NCC,LPC
Provider Business Mailing Address
First Line : 11965 RED BARN CT
Second Line :
City : FLORISSANT
State : MO
Zip : 63033-7830
Country : US
Telephone Number : 314-355-0509
Fax Number : 314-355-0509
Provider Business Practice Location Address
First Line : 11650 NEW HALLS FERRY RD
Second Line :
City : FLORISSANT
State : MO
Zip : 63033-6924
Country : US
Telephone Number : 314-537-7637
Fax Number : 314-355-0509
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2006
Last Update Date : 07/08/2007

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