Provider Demographics
NPI:1861677353
Name:BARBER, TIMOTHY L (PCC-S)
Entity Type:Individual
Prefix:PROF
First Name:TIMOTHY
Middle Name:L
Last Name:BARBER
Suffix:
Gender:M
Credentials:PCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1251 KEMPER MEADOW DR STE 100
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-1768
Mailing Address - Country:US
Mailing Address - Phone:513-376-9757
Mailing Address - Fax:513-376-8347
Practice Address - Street 1:1251 KEMPER MEADOW DR STE 100
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-1768
Practice Address - Country:US
Practice Address - Phone:513-376-9757
Practice Address - Fax:513-376-8347
Is Sole Proprietor?:No
Enumeration Date:2008-01-03
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0004168-SUPV101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional