Basic Information
| Provider Information | |||||||||
| NPI: | 1083839518 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BARBIER | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | A | ||||||||
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| Mailing Information | |||||||||
| Address1: | 400 N SAGINAW ST | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | FLINT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 485022045 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8107875001 | ||||||||
| FaxNumber: | 8104246029 | ||||||||
| Practice Location | |||||||||
| Address1: | 5710 CLIO RD | ||||||||
| Address2: | |||||||||
| City: | FLINT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 485041525 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8107899141 | ||||||||
| FaxNumber: | 8107874491 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/17/2007 | ||||||||
| LastUpdateDate: | 07/29/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 6801089154 | MI | N | Behavioral Health & Social Service Providers | Social Worker | 106S00000X | N | 101YM0800X | 6802083610 | MI | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
ID Information
| ID | Type | State | Issuer | Description | 0B56065 | 01 | MI | MEDICARE PART B | OTHER | 38-2406558 | 01 | MI | TAX ID | OTHER |