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NPI Code Detail

MEDICARE: MICHELLE BARKER COUNSELING & CONSULTING SERVICES, LLC

MEDICARE: MICHELLE BARKER COUNSELING & CONSULTING SERVICES, LLC
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
1251S00000XCommunity/Behavioral Health Agency
2101Y00000XCounselor
3101YA0400XAddiction (Substance Use Disorder) Counselor
4101YM0800XMental Health Counselor
5106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1134074115
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHELLE BARKER COUNSELING & CONSULTING SERVICES, LLC
Provider Business Mailing Address
First Line : 4685 WISTERIA LN
Second Line :
City : FORTSON
State : GA
Zip : 31808-6987
Country : US
Telephone Number : 904-891-5900
Fax Number : 904-513-7590
Provider Business Practice Location Address
First Line : 6639 SOUTHPOINT PKWY STE 106
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-8042
Country : US
Telephone Number : 904-891-5900
Fax Number : 904-513-7590
Authorized Official
Title or Position : MEMBER
Name : MICHELLE BARKER
Credential :
Telephone Number : 904-891-5900
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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