Provider Demographics
NPI:1396191151
Name:BARBOUR, TOMI LEIGH (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:TOMI
Middle Name:LEIGH
Last Name:BARBOUR
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:TOMI
Other - Middle Name:LEIGH
Other - Last Name:HOBLIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1401 W 2ND ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:GILLETTE
Mailing Address - State:WY
Mailing Address - Zip Code:82716-3333
Mailing Address - Country:US
Mailing Address - Phone:307-682-6699
Mailing Address - Fax:
Practice Address - Street 1:1401 W 2ND ST
Practice Address - Street 2:SUITE 1
Practice Address - City:GILLETTE
Practice Address - State:WY
Practice Address - Zip Code:82716-3333
Practice Address - Country:US
Practice Address - Phone:307-682-6699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-11
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY1570101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional