Provider Demographics
NPI:1649056011
Name:BARNHART, ERIC (LPC)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:BARNHART
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 1:1117 SADDLEBROOK CT N
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63304-2420
Mailing Address - Country:US
Mailing Address - Phone:314-221-5096
Mailing Address - Fax:
Practice Address - Street 1:1117 SADDLEBROOK CT N
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63304-2420
Practice Address - Country:US
Practice Address - Phone:314-221-5096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-01
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20221043662101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor