Provider Demographics
NPI:1235351735
Name:DON BARRY'S COUNSELING SERVICE, INC.
Entity Type:Organization
Organization Name:DON BARRY'S COUNSELING SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:BARRY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:630-428-1828
Mailing Address - Street 1:43 EAST JEFFERSON
Mailing Address - Street 2:SUITE 210
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540
Mailing Address - Country:US
Mailing Address - Phone:630-428-1828
Mailing Address - Fax:
Practice Address - Street 1:43 EAST JEFFERSON
Practice Address - Street 2:SUITE 210
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540
Practice Address - Country:US
Practice Address - Phone:630-428-1828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL21623189OtherBLUE CROSS & BLUE SHIELD
IL21623189OtherBLUE CROSS & BLUE SHIELD