Healthcare Provider Details

I. General information

NPI: 1467367417
Provider Name (Legal Business Name): NOVANA BARNEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2536 HAWKS EYE DR
CONROE TX
77301-3228
US

IV. Provider business mailing address

2536 HAWKS EYE DR
CONROE TX
77301-3228
US

V. Phone/Fax

Practice location:
  • Phone: 773-256-7551
  • Fax:
Mailing address:
  • Phone: 773-256-7551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC01230400
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number102065
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: