Healthcare Provider Details

I. General information

NPI: 1073087771
Provider Name (Legal Business Name): EMILY ROSE BARR MS, LCPC, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/15/2019
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5230 39TH AVE S # 418
SEATTLE WA
98118-6236
US

IV. Provider business mailing address

5230 39TH AVE S # 418
SEATTLE WA
98118-6236
US

V. Phone/Fax

Practice location:
  • Phone: 425-835-3059
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH61428809
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC11436
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC8304
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: