| Barlow Professional Services Inc. | |
|
31800 Northwestern Hwy Ste 340 Farmington Hills MI 48334-1665 | |
| (248) 438-8254 | |
| (734) 207-5326 |
| Full Name | Barlow Professional Services Inc. |
|---|---|
| Speciality | Counselor |
| Location | 31800 Northwestern Hwy Ste 340, Farmington Hills, Michigan |
| Authorized Official Name and Position | Lasonia A Barlow (LPC/LLP/OWNER) |
| Authorized Official Contact | 2484388254 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barlow Professional Services Inc. 31800 Northwestern Hwy Ste 340 Farmington Hills MI 48334-1665 Ph: (248) 438-8254 | Barlow Professional Services Inc. 31800 Northwestern Hwy Ste 340 Farmington Hills MI 48334-1665 Ph: (248) 438-8254 |
| NPI Number | 1669906988 |
|---|---|
| Provider Enumeration Date | 04/13/2017 |
| Last Update Date | 11/08/2023 |
| Certification Date | 11/08/2023 |
| Medicare PECOS PAC ID | 9931538980 |
|---|---|
| Medicare Enrollment ID | O20200326002843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669906988 | NPI | - | NPPES |
| Provider Name | Tiffany Shandrea Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730572660 PECOS PAC ID: 2365763950 Enrollment ID: I20150720000074 |
| Provider Name | Markita Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730556291 PECOS PAC ID: 7012285463 Enrollment ID: I20170608000295 |
| Provider Name | Charmaine Adegeye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003393695 PECOS PAC ID: 7911250121 Enrollment ID: I20181105001433 |
| Provider Name | Lasonia Barlow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902130966 PECOS PAC ID: 8921437971 Enrollment ID: I20240201002917 |
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