Provider Demographics
NPI:1962745778
Name:BARRETT, ROBERTA (PASTORAL CARE COUNSE)
Entity type:Individual
Prefix:
First Name:ROBERTA
Middle Name:
Last Name:BARRETT
Suffix:
Gender:F
Credentials:PASTORAL CARE COUNSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT CARMEL
Mailing Address - State:PA
Mailing Address - Zip Code:17851-1803
Mailing Address - Country:US
Mailing Address - Phone:570-875-8058
Mailing Address - Fax:570-544-8464
Practice Address - Street 1:601 W 5TH ST
Practice Address - Street 2:
Practice Address - City:MOUNT CARMEL
Practice Address - State:PA
Practice Address - Zip Code:17851-1803
Practice Address - Country:US
Practice Address - Phone:570-875-8058
Practice Address - Fax:570-544-4357
Is Sole Proprietor?:No
Enumeration Date:2013-03-29
Last Update Date:2013-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health