Provider Demographics
NPI:1902931611
Name:FARRELL, BARBARA L I (MSW LISW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:L
Last Name:FARRELL
Suffix:I
Gender:F
Credentials:MSW LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2675 MEDWAY NEW CARLISLE RD
Mailing Address - Street 2:
Mailing Address - City:MEDWAY
Mailing Address - State:OH
Mailing Address - Zip Code:45341-9744
Mailing Address - Country:US
Mailing Address - Phone:937-849-1257
Mailing Address - Fax:937-849-1336
Practice Address - Street 1:2675 MEDWAY NEW CARLISLE RD
Practice Address - Street 2:
Practice Address - City:MEDWAY
Practice Address - State:OH
Practice Address - Zip Code:45341-9744
Practice Address - Country:US
Practice Address - Phone:937-849-1257
Practice Address - Fax:937-849-1336
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI0009113101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health