Provider Demographics
NPI:1811385156
Name:BARBARA J H ANDERSON LMFT COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:BARBARA J H ANDERSON LMFT COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:J H
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:860-961-5738
Mailing Address - Street 1:2808 KOHLER MEMORIAL DR
Mailing Address - Street 2:SUITE 8
Mailing Address - City:SHEBOYGAN
Mailing Address - State:WI
Mailing Address - Zip Code:53081-3177
Mailing Address - Country:US
Mailing Address - Phone:920-453-0330
Mailing Address - Fax:920-453-0331
Practice Address - Street 1:2808 KOHLER MEMORIAL DR
Practice Address - Street 2:SUITE 8
Practice Address - City:SHEBOYGAN
Practice Address - State:WI
Practice Address - Zip Code:53081-3177
Practice Address - Country:US
Practice Address - Phone:920-453-0330
Practice Address - Fax:920-453-0331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-08
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1114-124106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty