Doctor Name: | HOLLY MICHELLE BARLOW |
NPI Number: | 1134543275 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED, LPCA, NCC |
License Number: | |
Business Practice Address: | 767 Main St West Liberty, KY - 414721019 |
Business Phone Number: | 6067433139 |
Business Fax Number: | |
Mailing Address: | Po Box 790, ASHLAND |
State: | KY |
Postal Code: | 411050790 |
Phone Number: | 6063298588 |
Fax Number: | |
NPI Enumeration Date: | 02/10/2014 |
NPI Last Update Date: | 11/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |