Provider Demographics
NPI:1508032772
Name:STURMAN, BARI MICHELE (LMFT)
Entity Type:Individual
Prefix:
First Name:BARI
Middle Name:MICHELE
Last Name:STURMAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1520 N DAMEN AVE
Mailing Address - Street 2:UNIT A-1
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-1967
Mailing Address - Country:US
Mailing Address - Phone:312-605-6434
Mailing Address - Fax:312-276-4366
Practice Address - Street 1:1520 N DAMEN AVE
Practice Address - Street 2:UNIT A-1
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-1967
Practice Address - Country:US
Practice Address - Phone:312-605-6434
Practice Address - Fax:312-276-4366
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-07
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2307106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001112900Medicaid