Provider Demographics
NPI:1194352070
Name:BARTON, CHEYENNE (MS, LCPC)
Entity type:Individual
Prefix:
First Name:CHEYENNE
Middle Name:
Last Name:BARTON
Suffix:
Gender:F
Credentials:MS, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 N ROLLING RD STE 201B
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-4490
Mailing Address - Country:US
Mailing Address - Phone:410-693-7369
Mailing Address - Fax:
Practice Address - Street 1:516 N ROLLING RD STE 201B
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-4490
Practice Address - Country:US
Practice Address - Phone:443-343-2416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-23
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCP12247101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional