Healthcare Provider Details

I. General information

NPI: 1235674748
Provider Name (Legal Business Name): SABRINA RENAE BARBER PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2016
Last Update Date: 07/18/2023
Certification Date: 07/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

645 HIGHWAY 80 E
MONROE LA
71203-8527
US

IV. Provider business mailing address

645 HIGHWAY 80 E
MONROE LA
71203-8527
US

V. Phone/Fax

Practice location:
  • Phone: 318-343-8744
  • Fax: 318-345-7123
Mailing address:
  • Phone: 318-343-8744
  • Fax: 318-345-7123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License NumberPLC7663
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPLC7663
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: