Basic Information
| Provider Information | |||||||||
| NPI: | 1669074886 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BARKWAY | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | STEVEN | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | LLPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8765 LEWIS AVE | ||||||||
| Address2: | |||||||||
| City: | TEMPERANCE | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481829583 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7348473802 | ||||||||
| FaxNumber: | 7348500520 | ||||||||
| Practice Location | |||||||||
| Address1: | 550 E MAIN ST STE 1001 | ||||||||
| Address2: | |||||||||
| City: | HUDSON | ||||||||
| State: | MI | ||||||||
| PostalCode: | 492479535 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7342432410 | ||||||||
| FaxNumber: | 7346392552 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/12/2020 | ||||||||
| LastUpdateDate: | 11/13/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/13/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 6401017055 | MI | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.