Provider Demographics
NPI:1356859631
Name:BARBERIO, MOLLY ELIZABETH (MA, NCC, LPC, ALPS)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:ELIZABETH
Last Name:BARBERIO
Suffix:
Gender:F
Credentials:MA, NCC, LPC, ALPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2413 E PIKE ST STE 121
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26301-9117
Mailing Address - Country:US
Mailing Address - Phone:304-669-7975
Mailing Address - Fax:304-566-7533
Practice Address - Street 1:2413 E PIKE ST STE 121
Practice Address - Street 2:
Practice Address - City:CLARKSBURG
Practice Address - State:WV
Practice Address - Zip Code:26301-9117
Practice Address - Country:US
Practice Address - Phone:304-669-7975
Practice Address - Fax:304-566-7533
Is Sole Proprietor?:No
Enumeration Date:2018-01-20
Last Update Date:2019-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2166101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health