Provider Demographics
NPI:1922736610
Name:BARELA, CHRISTOPHER MATHEW (MA, LMFT-A)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:MATHEW
Last Name:BARELA
Suffix:
Gender:M
Credentials:MA, LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5411 MONTROSE DR
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-3594
Mailing Address - Country:US
Mailing Address - Phone:719-644-9543
Mailing Address - Fax:
Practice Address - Street 1:414 N MAIN ST STE 103
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-3395
Practice Address - Country:US
Practice Address - Phone:817-768-6841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204127101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health