Basic Information
| Provider Information | |||||||||
| NPI: | 1669906988 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BARLOW PROFESSIONAL SERVICES INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 31800 NORTHWESTERN HWY STE 340 | ||||||||
| Address2: | |||||||||
| City: | FARMINGTON HILLS | ||||||||
| State: | MI | ||||||||
| PostalCode: | 483341665 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2484388254 | ||||||||
| FaxNumber: | 7342075326 | ||||||||
| Practice Location | |||||||||
| Address1: | 31800 NORTHWESTERN HWY STE 340 | ||||||||
| Address2: | |||||||||
| City: | FARMINGTON HILLS | ||||||||
| State: | MI | ||||||||
| PostalCode: | 483341665 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2484388254 | ||||||||
| FaxNumber: | 7342075326 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/13/2017 | ||||||||
| LastUpdateDate: | 09/11/2018 | ||||||||
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| AuthorizedOfficialLastName: | BARLOW | ||||||||
| AuthorizedOfficialFirstName: | LASONIA | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | LPC/LLP/OWNER | ||||||||
| AuthorizedOfficialTelephone: | 2484388254 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | LPC / LLP | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 6301015842 | MI | N | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Psychologist | Clinical | 101YP2500X | 6401011509 | MI | Y | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.