Provider Demographics
NPI:1972123529
Name:BARR, BARBARA ELLEN (LMHC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ELLEN
Last Name:BARR
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4829 FALLING ACORN CIR
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-4760
Mailing Address - Country:US
Mailing Address - Phone:847-977-2551
Mailing Address - Fax:
Practice Address - Street 1:4829 FALLING ACORN CIR
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-4760
Practice Address - Country:US
Practice Address - Phone:847-977-2551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-23
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH13065103TC1900X
FLMH-13065101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH-13065OtherFLORIDA STATE LICENSE
FL1972123529OtherNPI
FLMH-13065OtherLICENSED MENTAL HEALTH COUNSELOR