Provider Demographics
NPI:1255904371
Name:NIEVES, BARBARA DOLORES (LPC)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:DOLORES
Last Name:NIEVES
Suffix:
Gender:F
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:HC 2 BOX 5927
Mailing Address - Street 2:
Mailing Address - City:COMERIO
Mailing Address - State:PR
Mailing Address - Zip Code:00782-9664
Mailing Address - Country:US
Mailing Address - Phone:787-220-6443
Mailing Address - Fax:
Practice Address - Street 1:CARR. 779 K.M. 10.2 INT. BO. CEDRO ARRIBA
Practice Address - Street 2:
Practice Address - City:NARANJITO
Practice Address - State:PR
Practice Address - Zip Code:00719-0071
Practice Address - Country:US
Practice Address - Phone:787-220-6443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-19
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4520101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4520OtherPROFESSIONAL COUNSELOR LICENSE NUMBER