Healthcare Provider Details

I. General information

NPI: 1730852401
Provider Name (Legal Business Name): ASHLEY NICOLE BARNES LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2021
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2030 SUTTER PL STE 2000
DAVIS CA
95616-6216
US

IV. Provider business mailing address

PO BOX 255228
SACRAMENTO CA
95865-5228
US

V. Phone/Fax

Practice location:
  • Phone: 530-750-7210
  • Fax:
Mailing address:
  • Phone: 530-750-7210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT150005
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: