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NPI Code Detail

MEDICARE: MARY BARNES LPC

MEDICARE: MARY 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
1101YP2500XProfessional CounselorLPC009016GA

General Provider Information

NPI Number : 1053854521
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY BARNES LPC
Provider Business Mailing Address
First Line : 121 SHERWOOD FOREST CIR
Second Line :
City : BRUNSWICK
State : GA
Zip : 31525-9226
Country : US
Telephone Number : 912-571-5640
Fax Number :
Provider Business Practice Location Address
First Line : 14 SAINT ANDREWS CT
Second Line :
City : BRUNSWICK
State : GA
Zip : 31520-6777
Country : US
Telephone Number : 912-257-5858
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2016
Last Update Date : 10/07/2019

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Directions to “ MARY BARNES LPC” Practice Location

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