Provider Demographics
NPI:1205134988
Name:BARGA, MIKA KAY (LPC-CR)
Entity type:Individual
Prefix:MISS
First Name:MIKA
Middle Name:KAY
Last Name:BARGA
Suffix:
Gender:F
Credentials:LPC-CR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 W PARK DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45331-2370
Mailing Address - Country:US
Mailing Address - Phone:937-417-0091
Mailing Address - Fax:
Practice Address - Street 1:1101 JACKSON ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:OH
Practice Address - Zip Code:45331-1395
Practice Address - Country:US
Practice Address - Phone:937-547-2319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-04
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0900225101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0959440Medicaid
OH9249691OtherMEDICARE
OH01135OtherUPIN