Provider Demographics
NPI:1760887426
Name:BARGE, KIM S (MA, BA, RAC)
Entity type:Individual
Prefix:
First Name:KIM
Middle Name:S
Last Name:BARGE
Suffix:
Gender:F
Credentials:MA, BA, RAC
Other - Prefix:
Other - First Name:KIM
Other - Middle Name:S
Other - Last Name:BARGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:806 TUURI PL
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48503-2465
Mailing Address - Country:US
Mailing Address - Phone:810-767-5750
Mailing Address - Fax:810-768-7513
Practice Address - Street 1:806 TUURI PL
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-2465
Practice Address - Country:US
Practice Address - Phone:810-767-5750
Practice Address - Fax:810-768-7513
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-23
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)