1093862385 NPI number — BARRIS COUNSELING SERVICES, INC.

Table of content: (NPI 1093862385)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093862385 NPI number — BARRIS COUNSELING SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BARRIS COUNSELING SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1093862385
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/13/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1414 KEY HWY
Provider Second Line Business Mailing Address:
SUITE 301, MANGELS BLDG.
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21230-5189
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-752-3640
Provider Business Mailing Address Fax Number:
410-752-8043

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1414 KEY HWY
Provider Second Line Business Practice Location Address:
SUITE 301, MANGELS BLDG.
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21230-5189
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-752-3640
Provider Business Practice Location Address Fax Number:
410-752-8043
Provider Enumeration Date:
01/05/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BARRIS
Authorized Official First Name:
MARGARET
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
410-752-3640

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 108922 . This is a "V. O. , CHAMPUS, TRICARE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 172348000 . This is a "MIS MAGELLAN" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: R1190001 . This is a "CAREFIRST FEP DC" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 3068481 . This is a "AETNA" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: QF30MH . This is a "CAREFIRST MD" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: IP 160353 . This is a "MHB" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 354311100 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6029-01 . This is a "PACIFIC CARE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 288502 . This is a "MHN" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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