Organization
BARB SHEPARD LICENSED MENTAL HEALTH COUNSELOR PLLC
Active
Other names
Barb Shepard, LMHC
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA SHEPARD LMHC (OWNER)
(315) 313-4075
Entity
Organization
Contact information
Practice address
7000 EAST GENESEE STREET, BUILDING C, FAYETTEVILLE, NY 13066
(315) 313-4075
Mailing address
134 HATHAWAY RD, DE WITT, NY 13214-1936
(131) 548-1639
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008001
NEW YORK STATE OFFICE OF THE PROFESSIONS (LICENSE NUMBER)
NY
Enumeration date
07/14/2022
Last updated
07/14/2022
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