Provider Demographics
NPI:1972829943
Name:DEBRA CARTER-BARTH
Entity Type:Organization
Organization Name:DEBRA CARTER-BARTH
Other - Org Name:HEALTHY MINDS COUNSELING SERVICES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOTHERAPIST / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CARTER-BARTH
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:507-412-1468
Mailing Address - Street 1:303 1ST AVE. N.E.
Mailing Address - Street 2:STE 240
Mailing Address - City:FARIBAULT
Mailing Address - State:MN
Mailing Address - Zip Code:55021-5379
Mailing Address - Country:US
Mailing Address - Phone:507-412-1468
Mailing Address - Fax:507-331-8677
Practice Address - Street 1:303 1ST AVE NE
Practice Address - Street 2:STE 240
Practice Address - City:FARIBAULT
Practice Address - State:MN
Practice Address - Zip Code:55021-5268
Practice Address - Country:US
Practice Address - Phone:507-412-1468
Practice Address - Fax:507-331-8677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-15
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN17263261QM0850X, 261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1790923035Medicaid