Healthcare Provider Details

I. General information

NPI: 1013519800
Provider Name (Legal Business Name): EMILY ELIZABETH BARBER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2020
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S CRAPO ST STE 200
MOUNT PLEASANT MI
48858-2941
US

IV. Provider business mailing address

1811 EDGEWOOD DR APT 102
MOUNT PLEASANT MI
48858-4182
US

V. Phone/Fax

Practice location:
  • Phone: 989-772-5938
  • Fax:
Mailing address:
  • Phone: 231-215-9812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401225975
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: