Provider Demographics
NPI:1083839518
Name:BARBIER, ROBERT A
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:A
Last Name:BARBIER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 N SAGINAW ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48502-2045
Mailing Address - Country:US
Mailing Address - Phone:810-787-5001
Mailing Address - Fax:810-424-6029
Practice Address - Street 1:5710 CLIO RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48504-1525
Practice Address - Country:US
Practice Address - Phone:810-789-9141
Practice Address - Fax:810-787-4491
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801089154104100000X
106S00000X
MI6802083610101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0B56065OtherMEDICARE PART B
MI38-2406558OtherTAX ID