Healthcare Provider Details

I. General information

NPI: 1295518157
Provider Name (Legal Business Name): BARBER MENTAL HEALTH ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2023
Last Update Date: 04/26/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1714 A ST
LA PORTE IN
46350-5925
US

IV. Provider business mailing address

512 ANDREW AVE # 120
LA PORTE IN
46350-4633
US

V. Phone/Fax

Practice location:
  • Phone: 219-342-2415
  • Fax: 219-370-6088
Mailing address:
  • Phone: 219-369-2393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: PHILIP BARBER
Title or Position: CEO
Credential: LMHC
Phone: 219-369-2393