Provider Demographics
NPI:1376151696
Name:BARLOGIE, BRITTA ELISABETH (LMHC)
Entity Type:Individual
Prefix:MS
First Name:BRITTA
Middle Name:ELISABETH
Last Name:BARLOGIE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1925 ADAM CLAYTON POWELL JR BLVD APT 2K2
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10026-2227
Mailing Address - Country:US
Mailing Address - Phone:347-988-8506
Mailing Address - Fax:
Practice Address - Street 1:12 E 44TH ST FL 4
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-3624
Practice Address - Country:US
Practice Address - Phone:646-559-9019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-22
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010582-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY010582-01OtherPRIVATE INSURANCE PURPOSES