Provider Demographics
NPI:1790980035
Name:FORD, BARBARA ALLEN (LMFT, CAC II)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ALLEN
Last Name:FORD
Suffix:
Gender:F
Credentials:LMFT, CAC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1539 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-1825
Mailing Address - Country:US
Mailing Address - Phone:720-468-1463
Mailing Address - Fax:303-322-9699
Practice Address - Street 1:1766 HIGH ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1309
Practice Address - Country:US
Practice Address - Phone:720-468-1463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-18
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6455101YA0400X
CO4600101YP2500X
CO739106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional