Provider Demographics
NPI:1659456838
Name:BARR, ANDREA (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:
Last Name:BARR
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2250 POINT BLVD STE 140
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-7869
Mailing Address - Country:US
Mailing Address - Phone:847-214-3651
Mailing Address - Fax:847-214-3669
Practice Address - Street 1:2250 POINT BLVD STE 140
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-7869
Practice Address - Country:US
Practice Address - Phone:847-214-3651
Practice Address - Fax:847-214-3669
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL871761174OtherNEW NUMBER