Provider Demographics
NPI:1790802965
Name:LIGUORI, BARBARA L (MS, LPC)
Entity Type:Individual
Prefix:MISS
First Name:BARBARA
Middle Name:L
Last Name:LIGUORI
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 NORWICH AVE.
Mailing Address - Street 2:BUILDING C
Mailing Address - City:COLCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06415-1563
Mailing Address - Country:US
Mailing Address - Phone:860-930-0127
Mailing Address - Fax:
Practice Address - Street 1:79 NORWICH AVE.
Practice Address - Street 2:BUILDING C
Practice Address - City:COLCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06415-1563
Practice Address - Country:US
Practice Address - Phone:860-930-0127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001869101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008067935Medicaid
CT008050331Medicaid