Provider Demographics
NPI:1285146803
Name:BARTON, PHILLIP (LGPC)
Entity type:Individual
Prefix:
First Name:PHILLIP
Middle Name:
Last Name:BARTON
Suffix:
Gender:M
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 JACKSONVILLE RD
Mailing Address - Street 2:UNIT 1-203
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974
Mailing Address - Country:US
Mailing Address - Phone:917-407-0394
Mailing Address - Fax:
Practice Address - Street 1:375 JACKSONVILLE RD
Practice Address - Street 2:UNIT 1-203
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-1897
Practice Address - Country:US
Practice Address - Phone:917-407-0394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-05
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP8160101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional