Provider Demographics
NPI:1881944650
Name:BARRACO HATCHETT, MICHELLE N (LCPC, CADC, MA)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:N
Last Name:BARRACO HATCHETT
Suffix:
Gender:F
Credentials:LCPC, CADC, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14710 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-3050
Mailing Address - Country:US
Mailing Address - Phone:773-954-4787
Mailing Address - Fax:
Practice Address - Street 1:14710 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-3050
Practice Address - Country:US
Practice Address - Phone:773-954-4787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-19
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180008174101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health