Provider Demographics
NPI:1285791327
Name:SEGURA, BARBARA JOAN (MED)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:JOAN
Last Name:SEGURA
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 LANZ LN
Mailing Address - Street 2:
Mailing Address - City:ELLINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06029-2312
Mailing Address - Country:US
Mailing Address - Phone:860-870-8698
Mailing Address - Fax:860-870-8698
Practice Address - Street 1:THE HOPE CENTER 225 OAKLAND ROAD
Practice Address - Street 2:SUITE 403
Practice Address - City:SOUTH WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06074
Practice Address - Country:US
Practice Address - Phone:860-644-3222
Practice Address - Fax:860-644-9730
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT412101YA0400X
CT463101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT11244517OtherCAQH
CT240000463CT01OtherBLUE CROSS BLUE SHIELD
CTIP560937OtherMAGELLAN BEH. HEALTH
CT0007574274OtherAETNA BEH. HEALTH
CTP3590284OtherOXFORD BEH. HEALTH
CT1096532OtherCIGNA BEH. HEALTH
CT563462OtherVALUE OPTIONS
CTN0800OtherEMPIRE BLUE CROSS