Provider Demographics
NPI:1104698471
Name:BARSY, HEATHER LYN (MSW)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:LYN
Last Name:BARSY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:LYN
Other - Last Name:BALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2316 SUPERIOR AVE
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49001-6156
Mailing Address - Country:US
Mailing Address - Phone:269-599-0093
Mailing Address - Fax:
Practice Address - Street 1:615 E CROSSTOWN PKWY
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49001-2501
Practice Address - Country:US
Practice Address - Phone:269-762-0320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6851116376104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker