Provider Demographics
NPI:1083927081
Name:BOHMAN, BARBARA HELEN (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:HELEN
Last Name:BOHMAN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 TERRELL ST
Mailing Address - Street 2:
Mailing Address - City:CUERO
Mailing Address - State:TX
Mailing Address - Zip Code:77954-3556
Mailing Address - Country:US
Mailing Address - Phone:361-275-2456
Mailing Address - Fax:361-275-2456
Practice Address - Street 1:712 TERRELL ST
Practice Address - Street 2:
Practice Address - City:CUERO
Practice Address - State:TX
Practice Address - Zip Code:77954-3556
Practice Address - Country:US
Practice Address - Phone:361-243-0287
Practice Address - Fax:888-972-1967
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-19
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63116101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX213111201Medicaid