Provider Demographics
NPI:1609095025
Name:BARTA, BETHANY ANN (L C S W)
Entity Type:Individual
Prefix:MS
First Name:BETHANY
Middle Name:ANN
Last Name:BARTA
Suffix:
Gender:F
Credentials:L C S W
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1735 YORK ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-1212
Mailing Address - Country:US
Mailing Address - Phone:303-246-3219
Mailing Address - Fax:303-256-9441
Practice Address - Street 1:1735 YORK ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-1212
Practice Address - Country:US
Practice Address - Phone:303-246-3219
Practice Address - Fax:303-256-9441
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6135101YA0400X
CO9928311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)