MEDICARE: DR. PAUL H. BARKLEY LPC & LMFT

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
1	101YP2500X	Professional Counselor	659	TN
2	106H00000X	Marriage & Family Therapist	116	TN

General Provider Information

NPI Number	:	1497826895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL H. BARKLEY LPC & LMFT

Provider Business Mailing Address
First Line	:	6510 STAGE RD
Second Line	:	SUITE #3
City	:	BARTLETT
State	:	TN
Zip	:	38134-3892
Country	:	US
Telephone Number	:	901-372-6764
Fax Number	:	901-372-9462

Provider Business Practice Location Address
First Line	:	6510 STAGE RD
Second Line	:	SUITE #3
City	:	BARTLETT
State	:	TN
Zip	:	38134-3892
Country	:	US
Telephone Number	:	901-372-6764
Fax Number	:	901-372-9462

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2006
Last Update Date	:	09/11/2025

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