Provider Demographics
NPI:1093447740
Name:BARROW, ELEANOR RENEE (CMHC)
Entity Type:Individual
Prefix:MRS
First Name:ELEANOR
Middle Name:RENEE
Last Name:BARROW
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 MCGLOCKLIN WAY
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42101-7302
Mailing Address - Country:US
Mailing Address - Phone:812-589-3105
Mailing Address - Fax:
Practice Address - Street 1:505 WARD AVE
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:KY
Practice Address - Zip Code:42261-8421
Practice Address - Country:US
Practice Address - Phone:270-526-5647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-29
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool