Provider Demographics
NPI:1972927689
Name:BARBARA FROEHLICH-STAPLETON LPC LMSW PLLC
Entity Type:Organization
Organization Name:BARBARA FROEHLICH-STAPLETON LPC LMSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:FROEHLICH-STAPLETON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LMSW
Authorized Official - Phone:313-590-0476
Mailing Address - Street 1:PO BOX 354
Mailing Address - Street 2:
Mailing Address - City:ALLEN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48101-0354
Mailing Address - Country:US
Mailing Address - Phone:313-590-0476
Mailing Address - Fax:
Practice Address - Street 1:31530 BEECHWOOD ST
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:MI
Practice Address - Zip Code:48135-1935
Practice Address - Country:US
Practice Address - Phone:313-590-0476
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-17
Last Update Date:2014-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010654551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty