Provider Demographics
NPI:1093247124
Name:BARTON, AMY (M ED LPC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:BARTON
Suffix:
Gender:F
Credentials:M ED LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-2939
Mailing Address - Country:US
Mailing Address - Phone:469-901-8550
Mailing Address - Fax:972-723-5777
Practice Address - Street 1:717 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-2939
Practice Address - Country:US
Practice Address - Phone:469-901-8550
Practice Address - Fax:972-723-5777
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-29
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
TX73881101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional