Provider Demographics
NPI:1558904359
Name:BARTEN, SARAH KATHERINE (MA)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:KATHERINE
Last Name:BARTEN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TOP OF THE WORLD RANCH
Mailing Address - Street 2:3333 155TH AVE
Mailing Address - City:MILAN
Mailing Address - State:IL
Mailing Address - Zip Code:61264
Mailing Address - Country:US
Mailing Address - Phone:309-623-4510
Mailing Address - Fax:306-623-4489
Practice Address - Street 1:3333 155TH AVE
Practice Address - Street 2:
Practice Address - City:MILAN
Practice Address - State:IL
Practice Address - Zip Code:61264-7607
Practice Address - Country:US
Practice Address - Phone:309-623-4510
Practice Address - Fax:309-623-4489
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-24
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)