Provider Demographics
NPI:1780241083
Name:BARKER, LINDSAY AFTON
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:AFTON
Last Name:BARKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13753 SAND CHERRY PL
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-7602
Mailing Address - Country:US
Mailing Address - Phone:719-237-2717
Mailing Address - Fax:
Practice Address - Street 1:WHOLE KIDS CO.
Practice Address - Street 2:11681 VOYAGER PKWY, STE 150
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80921
Practice Address - Country:US
Practice Address - Phone:719-344-9393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-22
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0109771101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor