Provider Demographics
NPI:1922329994
Name:BARRON MORSE COUNSELING PLLC
Entity Type:Organization
Organization Name:BARRON MORSE COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:KINGSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-415-0055
Mailing Address - Street 1:609 MAIN ST STE 4
Mailing Address - Street 2:
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-5470
Mailing Address - Country:US
Mailing Address - Phone:207-773-1032
Mailing Address - Fax:207-761-5606
Practice Address - Street 1:609 MAIN ST STE 4
Practice Address - Street 2:
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106-5470
Practice Address - Country:US
Practice Address - Phone:207-773-1032
Practice Address - Fax:207-761-5606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-14
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty