Provider Demographics
NPI:1982861241
Name:FROEHLICH-STAPLETON, BARBARA JAYNE (LPC LMSW)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:JAYNE
Last Name:FROEHLICH-STAPLETON
Suffix:
Gender:F
Credentials:LPC LMSW
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 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:313-381-0748
Mailing Address - Fax:734-427-8594
Practice Address - Street 1:31530 BEECHWOOD
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:MI
Practice Address - Zip Code:48135
Practice Address - Country:US
Practice Address - Phone:313-381-0748
Practice Address - Fax:734-427-8594
Is Sole Proprietor?:No
Enumeration Date:2008-05-22
Last Update Date:2016-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401002474101YP2500X
MI5801065455104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
P20896488OtherBCBS