Provider Demographics
NPI:1174388623
Name:KARA J. BARTON, LLC
Entity type:Organization
Organization Name:KARA J. BARTON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARA
Authorized Official - Middle Name:JADE
Authorized Official - Last Name:BARTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:191-885-3430
Mailing Address - Street 1:1 W 41ST ST STE D
Mailing Address - Street 2:
Mailing Address - City:SAND SPRINGS
Mailing Address - State:OK
Mailing Address - Zip Code:74063-2726
Mailing Address - Country:US
Mailing Address - Phone:918-853-4308
Mailing Address - Fax:918-514-0133
Practice Address - Street 1:1 W 41ST ST STE D
Practice Address - Street 2:
Practice Address - City:SAND SPRINGS
Practice Address - State:OK
Practice Address - Zip Code:74063-2726
Practice Address - Country:US
Practice Address - Phone:918-853-4308
Practice Address - Fax:918-514-0133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty