Provider Demographics
NPI:1609940550
Name:BARBO INC
Entity Type:Organization
Organization Name:BARBO INC
Other - Org Name:THE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:FENTON DOUGLAS
Authorized Official - Last Name:SOARES
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC LMFT CDP
Authorized Official - Phone:360-354-5120
Mailing Address - Street 1:PO BOX 30011
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98228-2011
Mailing Address - Country:US
Mailing Address - Phone:360-354-5120
Mailing Address - Fax:360-354-5120
Practice Address - Street 1:310 5TH ST
Practice Address - Street 2:
Practice Address - City:LYNDEN
Practice Address - State:WA
Practice Address - Zip Code:98264-1911
Practice Address - Country:US
Practice Address - Phone:360-354-5120
Practice Address - Fax:360-354-5120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00006985101Y00000X
WACP00000541101YA0400X
WALH00004363101YM0800X
WALF00000933106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty