Provider Demographics
NPI:1568187771
Name:BARROSO CONSULTATION AND THERAPY, LLC
Entity type:Organization
Organization Name:BARROSO CONSULTATION AND THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:DOMINIQUE
Authorized Official - Last Name:BARROSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-460-7020
Mailing Address - Street 1:25 MILL BROOK RD
Mailing Address - Street 2:
Mailing Address - City:BAR HARBOR
Mailing Address - State:ME
Mailing Address - Zip Code:04609-7352
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:114 N MAIN ST STE 11
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:MI
Practice Address - Zip Code:48118-1514
Practice Address - Country:US
Practice Address - Phone:734-531-9490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-10
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty