Provider Demographics
NPI:1437507878
Name:BARBARA H ROMFO LLC
Entity Type:Organization
Organization Name:BARBARA H ROMFO LLC
Other - Org Name:LIFELINE COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:HUNTER
Authorized Official - Last Name:ROMFO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:304-660-9661
Mailing Address - Street 1:211 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:HINTON
Mailing Address - State:WV
Mailing Address - Zip Code:25951-2203
Mailing Address - Country:US
Mailing Address - Phone:304-660-9661
Mailing Address - Fax:304-309-5136
Practice Address - Street 1:321 ROGERS ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:WV
Practice Address - Zip Code:24740-3639
Practice Address - Country:US
Practice Address - Phone:304-660-9661
Practice Address - Fax:304-309-5136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-26
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV956103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV11979685OtherCAQH
WV3810018897Medicaid
WV1598726135OtherNPI
WV3810018897Medicaid
WVCP35091Medicare UPIN