Provider Demographics
NPI:1801008941
Name:BARKER, SARA
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:BARKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 86
Mailing Address - Street 2:303 S MYRTLE ST
Mailing Address - City:ELVASTON
Mailing Address - State:IL
Mailing Address - Zip Code:62334
Mailing Address - Country:US
Mailing Address - Phone:217-357-3176
Mailing Address - Fax:217-357-6609
Practice Address - Street 1:607 BUCHANAN STREET
Practice Address - Street 2:MENTAL HEALTH CENTERS OF WESTERN ILLINOIS
Practice Address - City:CARTHAGE
Practice Address - State:IL
Practice Address - Zip Code:62321
Practice Address - Country:US
Practice Address - Phone:217-357-3176
Practice Address - Fax:217-357-6609
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor