Healthcare Provider Details

I. General information

NPI: 1972312957
Provider Name (Legal Business Name): ORANDA BARNES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2025
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 STORE HILL RD
OLD WESTBURY NY
11568-1717
US

IV. Provider business mailing address

223 STORE HILL RD
OLD WESTBURY NY
11568-1717
US

V. Phone/Fax

Practice location:
  • Phone: 347-239-0285
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: