Provider Demographics
NPI:1134984578
Name:BARBOUR BEHAVIORAL HEALTH & CONSULTING LLC
Entity type:Organization
Organization Name:BARBOUR BEHAVIORAL HEALTH & CONSULTING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:BARBOUR
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:304-544-1347
Mailing Address - Street 1:PO BOX 626
Mailing Address - Street 2:
Mailing Address - City:BARBOURSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25504-0626
Mailing Address - Country:US
Mailing Address - Phone:304-223-7500
Mailing Address - Fax:
Practice Address - Street 1:6440 FARMDALE RD
Practice Address - Street 2:
Practice Address - City:BARBOURSVILLE
Practice Address - State:WV
Practice Address - Zip Code:25504-1323
Practice Address - Country:US
Practice Address - Phone:304-223-7500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-15
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty