Provider Demographics
NPI:1528393824
Name:THOMAS W BARHORST LPC
Entity Type:Organization
Organization Name:THOMAS W BARHORST LPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:BARHORST
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:660-342-3585
Mailing Address - Street 1:803 GREENWAY DR
Mailing Address - Street 2:
Mailing Address - City:KIRKSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63501-2027
Mailing Address - Country:US
Mailing Address - Phone:660-342-3585
Mailing Address - Fax:
Practice Address - Street 1:915 S BALTIMORE ST
Practice Address - Street 2:
Practice Address - City:KIRKSVILLE
Practice Address - State:MO
Practice Address - Zip Code:63501-4027
Practice Address - Country:US
Practice Address - Phone:660-342-3585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007011208101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty