Provider Demographics
NPI:1669906988
Name:BARLOW PROFESSIONAL SERVICES INC.
Entity type:Organization
Organization Name:BARLOW PROFESSIONAL SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC/LLP/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LASONIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARLOW
Authorized Official - Suffix:
Authorized Official - Credentials:LPC / LLP
Authorized Official - Phone:248-438-8254
Mailing Address - Street 1:31800 NORTHWESTERN HWY STE 340
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-1665
Mailing Address - Country:US
Mailing Address - Phone:248-438-8254
Mailing Address - Fax:734-207-5326
Practice Address - Street 1:31800 NORTHWESTERN HWY STE 340
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-1665
Practice Address - Country:US
Practice Address - Phone:248-438-8254
Practice Address - Fax:734-207-5326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-13
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301015842103TC0700X
363LF0000X
MI6401011509101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty