Provider Demographics
NPI:1063188340
Name:BARTLOW COUNSELING CENTER INC
Entity type:Organization
Organization Name:BARTLOW COUNSELING CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BARTLOW
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LCPC
Authorized Official - Phone:217-223-4673
Mailing Address - Street 1:731 N 24TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:IL
Mailing Address - Zip Code:62301-3265
Mailing Address - Country:US
Mailing Address - Phone:217-223-4673
Mailing Address - Fax:630-563-9020
Practice Address - Street 1:731 N 24TH ST STE A
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:IL
Practice Address - Zip Code:62301-3265
Practice Address - Country:US
Practice Address - Phone:217-223-4673
Practice Address - Fax:630-563-9020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty