Healthcare Provider Details

I. General information

NPI: 1073860557
Provider Name (Legal Business Name): TAMEKA L HUEY-BARKLEY LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TAMEKA L HUEY LISW

II. Dates (important events)

Enumeration Date: 08/14/2012
Last Update Date: 08/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13422 KINSMAN AVENUE
CLEVELAND OH
44120
US

IV. Provider business mailing address

13422 KINSMAN AVENUE
CLEVELAND OH
44120
US

V. Phone/Fax

Practice location:
  • Phone: 216-283-4400
  • Fax: 216-491-9428
Mailing address:
  • Phone: 216-283-4400
  • Fax: 216-491-9428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.0008201-SUPV
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: