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NPI Code Detail

MEDICARE: SONYA RENEE HINES-BARNETT CASE MANAGER

MEDICARE: SONYA RENEE HINES-BARNETT CASE MANAGER
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
1101YA0400XAddiction (Substance Use Disorder) Counselor166989OH
2171M00000XCase Manager/Care CoordinatorOH

General Provider Information

NPI Number : 1619466604
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONYA RENEE HINES-BARNETT CASE MANAGER
Provider Business Mailing Address
First Line : 5439 BURKHARDT RD
Second Line :
City : DAYTON
State : OH
Zip : 45431-2111
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5439 BURKHARDT RD
Second Line :
City : DAYTON
State : OH
Zip : 45431-2111
Country : US
Telephone Number : 937-791-1440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2018
Last Update Date : 05/28/2023

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