Provider Demographics
NPI:1982817870
Name:BARRICK, STEPHEN C (LPC)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:C
Last Name:BARRICK
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 513
Mailing Address - Street 2:919 E. 860 S.
Mailing Address - City:NEW HARMONY
Mailing Address - State:UT
Mailing Address - Zip Code:84757-0513
Mailing Address - Country:US
Mailing Address - Phone:435-586-6880
Mailing Address - Fax:
Practice Address - Street 1:1883 W. ROYAL HUNTE DR.
Practice Address - Street 2:SUITE 102
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720
Practice Address - Country:US
Practice Address - Phone:435-865-7339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5166531-6004101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional