MEDICARE: MYA BARTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1134002462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MYA BARTH

Provider Business Mailing Address
First Line	:	89 EVERGREEN CT
Second Line	:
City	:	DEERFIELD
State	:	IL
Zip	:	60015-5066
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1856 S BLUE ISLAND AVE APT 3R
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60608-4621
Country	:	US
Telephone Number	:	312-241-0579
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2025
Last Update Date	:	07/25/2025

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Directions to “ MYA BARTH ” Practice Location

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