MEDICARE: MADELEINE BARKER LMHC

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	101Y00000X	Counselor	IMH20615	FL
2	101YM0800X	Mental Health Counselor	MH21964	FL

General Provider Information

NPI Number	:	1295304483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELEINE BARKER LMHC

Provider Business Mailing Address
First Line	:	781 FAIRWAY DR
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33141-2421
Country	:	US
Telephone Number	:	786-837-1372
Fax Number	:

Provider Business Practice Location Address
First Line	:	2550 S DOUGLAS RD
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-6104
Country	:	US
Telephone Number	:	305-456-1014
Fax Number	:

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

Provider Enumeration Date	:	06/22/2021
Last Update Date	:	03/09/2023

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