Provider Demographics
NPI:1447695374
Name:BARKER, AMY (LMHCA)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:BARKER
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:924 N 195TH ST
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-3504
Mailing Address - Country:US
Mailing Address - Phone:800-733-4604
Mailing Address - Fax:206-367-1860
Practice Address - Street 1:924 N 195TH ST
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-3504
Practice Address - Country:US
Practice Address - Phone:800-733-4604
Practice Address - Fax:206-367-1860
Is Sole Proprietor?:No
Enumeration Date:2013-05-06
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60180249101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health