Provider Demographics
NPI:1760073597
Name:BARTON, EDITH CATALINA
Entity Type:Individual
Prefix:
First Name:EDITH
Middle Name:CATALINA
Last Name:BARTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:EDITH
Other - Middle Name:CATALINA
Other - Last Name:DROKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCMHC
Mailing Address - Street 1:726 RAMSEY ST STE 10&11
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28301-4751
Mailing Address - Country:US
Mailing Address - Phone:910-424-2020
Mailing Address - Fax:
Practice Address - Street 1:726 RAMSEY ST STE 10&11
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-4751
Practice Address - Country:US
Practice Address - Phone:910-424-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-03
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13353101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional