MEDICARE: KATERYNA BARNES LPC

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	101YP2500X	Professional Counselor	2015035423	MO
2	101YP2500X	Professional Counselor	7662	SC

General Provider Information

NPI Number	:	1033744321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATERYNA BARNES LPC

Provider Business Mailing Address
First Line	:	37 VILLA RD STE 206
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-3040
Country	:	US
Telephone Number	:	864-735-8439
Fax Number	:

Provider Business Practice Location Address
First Line	:	37 VILLA RD STE 206
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-3040
Country	:	US
Telephone Number	:	864-735-8439
Fax Number	:

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

Provider Enumeration Date	:	03/06/2020
Last Update Date	:	12/11/2020

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Directions to “ KATERYNA BARNES LPC” Practice Location

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