Provider Demographics
NPI:1902926561
Name:METZ, BARBARA ELLEN (MS, NCC, LCPC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ELLEN
Last Name:METZ
Suffix:
Gender:F
Credentials:MS, NCC, LCPC
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:ELLEN
Other - Last Name:ORTIZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10 RIDGEVIEW ST STE A
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:61832-1410
Mailing Address - Country:US
Mailing Address - Phone:217-443-1966
Mailing Address - Fax:217-443-7013
Practice Address - Street 1:10 RIDGEVIEW ST STE A
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IL
Practice Address - Zip Code:61832-1410
Practice Address - Country:US
Practice Address - Phone:217-443-1966
Practice Address - Fax:217-443-7013
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178 003172101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health