Barclay, Isie Ierisi

Barclay, Isie Ierisi is an sole proprietor health care provider with primary practice located at 218 Millington Way , St Charles IL 60174-1180. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Barclay, Isie Ierisi can be contacted via phone (630) 232-0921.

Contact Information

Primary practice address
218 Millington Way St Charles IL 60174-1180
Phone: (630) 232-0921
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 180-000984 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180-000984 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180-000984 Illinois

Profile Details

NPI number 1417979311
LBN Legal business name Barclay, Isie Ierisi
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2006
Last updated Aug 30th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417979311 NPPES
Illinois Other 04522948 BCBS PROVIDER ID PIN #
Illinois Other 180-0000984 BCBS PROVIDER ID PIN #

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