Provider Demographics
NPI:1710199153
Name:BARSNACK, MICHAELE MARIE (LPCC, ATR-BC, LICDC)
Entity Type:Individual
Prefix:MS
First Name:MICHAELE
Middle Name:MARIE
Last Name:BARSNACK
Suffix:
Gender:F
Credentials:LPCC, ATR-BC, LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:571 SIMBURY ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-2513
Mailing Address - Country:US
Mailing Address - Phone:614-470-0946
Mailing Address - Fax:
Practice Address - Street 1:571 SIMBURY ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-2513
Practice Address - Country:US
Practice Address - Phone:614-470-0946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0003990101YA0400X
OH852160101YA0400X
OH2627174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered174400000XOther Service ProvidersSpecialist