Provider Demographics
NPI:1497761167
Name:BARR, THOMAS R (LMHP PLADC)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:R
Last Name:BARR
Suffix:
Gender:M
Credentials:LMHP PLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 EAST MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701
Mailing Address - Country:US
Mailing Address - Phone:402-371-7175
Mailing Address - Fax:
Practice Address - Street 1:200 N 34TH ST
Practice Address - Street 2:GOOD LIFE COUNSELING
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68702
Practice Address - Country:US
Practice Address - Phone:402-371-3044
Practice Address - Fax:402-371-9643
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEP517101YA0400X
NE2940101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE247602OtherMIDLANDS CHOICE
NE47083165926Medicaid
NE85433OtherBCBS