Healthcare Provider Details

I. General information

NPI: 1093353948
Provider Name (Legal Business Name): ASHLEY M BARNES LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2019
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 REDLAND CT STE 101
OWINGS MILLS MD
21117-3291
US

IV. Provider business mailing address

400 REDLAND CT STE 101
OWINGS MILLS MD
21117-3291
US

V. Phone/Fax

Practice location:
  • Phone: 443-333-9550
  • Fax:
Mailing address:
  • Phone: 443-333-9550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLGP10035
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: