Healthcare Provider Details

I. General information

NPI: 1336141993
Provider Name (Legal Business Name): MICHAEL A BARTON PHD LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2005
Last Update Date: 02/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

933 FIRST COLONIAL RD STE. 200
VA BEACH VA
23454
US

IV. Provider business mailing address

933 FIRST COLONIAL RD STE. 200
VA BEACH VA
23454
US

V. Phone/Fax

Practice location:
  • Phone: 757-306-4232
  • Fax: 757-306-4235
Mailing address:
  • Phone: 757-306-4232
  • Fax: 757-306-4235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701001750
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: