Healthcare Provider Details

I. General information

NPI: 1225213549
Provider Name (Legal Business Name): TONYA BARRETT LCMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2008
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2418 SUGAR CT SW
CONCORD NC
28027-8939
US

IV. Provider business mailing address

2418 SUGAR CT SW
CONCORD NC
28027-8939
US

V. Phone/Fax

Practice location:
  • Phone: 585-317-5237
  • Fax:
Mailing address:
  • Phone: 585-317-5237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number251316-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA22852
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: