Basic Information
| Provider Information | |||||||||
| NPI: | 1730367640 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BARKER | ||||||||
| FirstName: | PAIGE | ||||||||
| MiddleName: | L | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MS, LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 22 N EIGHT TRIBES TRL | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | OK | ||||||||
| PostalCode: | 743541011 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9183878720 | ||||||||
| FaxNumber: | 8667922281 | ||||||||
| Practice Location | |||||||||
| Address1: | 615 H ST SE | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | OK | ||||||||
| PostalCode: | 743547908 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9183878720 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/01/2008 | ||||||||
| LastUpdateDate: | 01/04/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/29/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 5061 | OK | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.