Healthcare Provider Details

I. General information

NPI: 1417812504
Provider Name (Legal Business Name): DONNA KAY BARNES MFT ASSOCIATE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7205 STAR HOLLOW RD
LIPAN TX
76462-8020
US

IV. Provider business mailing address

7205 STAR HOLLOW RD
LIPAN TX
76462-8020
US

V. Phone/Fax

Practice location:
  • Phone: 817-598-9000
  • Fax:
Mailing address:
  • Phone: 817-598-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number16971
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number205262
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: