Provider Demographics
NPI:1285361071
Name:BARNHILL, KEVIN EUGENE (LPC)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:EUGENE
Last Name:BARNHILL
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 TOWNSEND DR
Mailing Address - Street 2:
Mailing Address - City:ALGONAC
Mailing Address - State:MI
Mailing Address - Zip Code:48001-1663
Mailing Address - Country:US
Mailing Address - Phone:586-344-9599
Mailing Address - Fax:
Practice Address - Street 1:37976 S GRATIOT AVE STE 4
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48036-3528
Practice Address - Country:US
Practice Address - Phone:586-697-2324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-02
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401224524101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor