Healthcare Provider Details

I. General information

NPI: 1144505439
Provider Name (Legal Business Name): BARBARA WILKINS LCSW PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2011
Last Update Date: 10/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1409 FRANKLIN ST SUITE 202
VANCOUVER WA
98660-2899
US

IV. Provider business mailing address

1409 FRANKLIN SUITE 202
VANCOUVER WA
98660
US

V. Phone/Fax

Practice location:
  • Phone: 360-696-8569
  • Fax: 360-254-5178
Mailing address:
  • Phone: 360-281-0794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License NumberLW00006401
License Number StateWA

VIII. Authorized Official

Name: MS. BARBARA LOUISE WILKINS
Title or Position: PSYCHOTHERAPIST
Credential: MSW
Phone: 360-281-0794