Provider Demographics
NPI:1043050800
Name:BARCLAY, LILY (LPC)
Entity type:Individual
Prefix:
First Name:LILY
Middle Name:
Last Name:BARCLAY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7102 E 131ST ST
Mailing Address - Street 2:
Mailing Address - City:GRANDVIEW
Mailing Address - State:MO
Mailing Address - Zip Code:64030-3317
Mailing Address - Country:US
Mailing Address - Phone:816-642-1738
Mailing Address - Fax:
Practice Address - Street 1:5000 W 95TH ST STE 285
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66207-3363
Practice Address - Country:US
Practice Address - Phone:913-423-8701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04544101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional