Basic Information
| Provider Information | |||||||||
| NPI: | 1053348151 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MOREA | ||||||||
| FirstName: | BARBARA | ||||||||
| MiddleName: | JEAN | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | LMSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1314 DIVISION ST | ||||||||
| Address2: | |||||||||
| City: | SAGINAW | ||||||||
| State: | MI | ||||||||
| PostalCode: | 486021639 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8102573676 | ||||||||
| FaxNumber: | 8102570713 | ||||||||
| Practice Location | |||||||||
| Address1: | 1102 MACKIN RD | ||||||||
| Address2: | |||||||||
| City: | FLINT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 485031204 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8102573676 | ||||||||
| FaxNumber: | 8102570713 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/26/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 6801019450 | MI | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.