Healthcare Provider Details

I. General information

NPI: 1912158536
Provider Name (Legal Business Name): LORI MICHELLE BARRETT LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2008
Last Update Date: 02/18/2020
Certification Date: 02/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HOME RD
COVINGTON KY
41011-5634
US

IV. Provider business mailing address

4294 MARY INGLES HWY
HIGHLAND HEIGHTS KY
41076-8618
US

V. Phone/Fax

Practice location:
  • Phone: 859-261-8768
  • Fax: 859-291-2431
Mailing address:
  • Phone: 859-572-0106
  • Fax: 859-282-8098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number261610
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: