Healthcare Provider Details

I. General information

NPI: 1447259585
Provider Name (Legal Business Name): SHIRL A BARKER PH.D., NCC, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 04/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 HILLSDALE AVE
GREENCASTLE IN
46135-1340
US

IV. Provider business mailing address

239 HILLSDALE AVE
GREENCASTLE IN
46135-1340
US

V. Phone/Fax

Practice location:
  • Phone: 765-653-1024
  • Fax: 765-653-4931
Mailing address:
  • Phone: 765-653-1024
  • Fax: 765-653-4931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3900380A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: