Healthcare Provider Details

I. General information

NPI: 1619572658
Provider Name (Legal Business Name): NAAOMI BARRETT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/30/2020
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5740 N PALM AVE STE 101
FRESNO CA
93704-1800
US

IV. Provider business mailing address

6421 N EL CAPITAN AVE
FRESNO CA
93722-3532
US

V. Phone/Fax

Practice location:
  • Phone: 559-547-0907
  • Fax: 559-705-1920
Mailing address:
  • Phone: 559-696-7714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number149036
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: