Provider Demographics
NPI:1083987150
Name:BARKER THERAPY ARTS LLC
Entity Type:Organization
Organization Name:BARKER THERAPY ARTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:E
Authorized Official - Last Name:BARKER
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP, LCSW
Authorized Official - Phone:402-715-9710
Mailing Address - Street 1:2701 COUNTRY CLUB AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-4222
Mailing Address - Country:US
Mailing Address - Phone:402-715-9710
Mailing Address - Fax:
Practice Address - Street 1:6910 PACIFIC ST
Practice Address - Street 2:SUITE 320
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106-1054
Practice Address - Country:US
Practice Address - Phone:402-715-9710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-20
Last Update Date:2016-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NELIMHP 965; LCSW 10461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty