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NPI Code Detail

MEDICARE: SHAYNELLE BORDLEY-BARNES M.A.

MEDICARE: SHAYNELLE BORDLEY-BARNES M.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorPRC15293DC
2101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1336563998
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAYNELLE BORDLEY-BARNES M.A.
Provider Business Mailing Address
First Line : 625 N ORANGE ST
Second Line :
City : WILMINGTON
State : DE
Zip : 19801-2296
Country : US
Telephone Number : 302-656-3439
Fax Number :
Provider Business Practice Location Address
First Line : 2501 MARION BARRY AVE SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20020-3011
Country : US
Telephone Number : 302-656-3439
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2014
Last Update Date : 04/17/2025

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