MEDICARE: TAMARIA BARNES CMHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	C11305	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033664164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMARIA BARNES CMHT

Provider Business Mailing Address
First Line	:	PO BOX 13509
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39236-3509
Country	:	US
Telephone Number	:	601-956-4816
Fax Number	:	601-956-4817

Provider Business Practice Location Address
First Line	:	460 BRIARWOOD DR
Second Line	:	SUITE 510
City	:	JACKSON
State	:	MS
Zip	:	39206-3051
Country	:	US
Telephone Number	:	601-956-4816
Fax Number	:	601-956-4817

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2016
Last Update Date	:	10/30/2025

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Directions to “ TAMARIA BARNES CMHT” Practice Location

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