Provider Demographics
NPI:1609227941
Name:FARRELL, BARBARA (MS, LPC, LCADC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:FARRELL
Suffix:
Gender:F
Credentials:MS, LPC, LCADC
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:FLACCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5800 NEW JERSEY AVE
Mailing Address - Street 2:
Mailing Address - City:WILDWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08260-1344
Mailing Address - Country:US
Mailing Address - Phone:609-780-4668
Mailing Address - Fax:
Practice Address - Street 1:5800 NEW JERSEY AVE
Practice Address - Street 2:
Practice Address - City:WILDWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08260-1344
Practice Address - Country:US
Practice Address - Phone:609-780-4668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-28
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00664400101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health