Provider Demographics
NPI:1588862049
Name:RICKEY, BARBARA R (PCC)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:R
Last Name:RICKEY
Suffix:
Gender:F
Credentials:PCC
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:R
Other - Last Name:ARNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PCC
Mailing Address - Street 1:601 S. EDWIN C. MOSES BLVD
Mailing Address - Street 2:1ST FLOOR, NW BUILDING
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45417-3424
Mailing Address - Country:US
Mailing Address - Phone:937-224-4646
Mailing Address - Fax:937-224-1625
Practice Address - Street 1:601 S. EDWIN C. MOSES BLVD
Practice Address - Street 2:1ST FLOOR, NW BUILDING
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45417-3424
Practice Address - Country:US
Practice Address - Phone:937-224-4646
Practice Address - Fax:937-224-1625
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2009-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0007018101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional