MEDICARE: NICOLE HERNANDEZ BARNES M.A, 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	101Y00000X	Counselor	8264	LA

General Provider Information

NPI Number	:	1407617665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE HERNANDEZ BARNES M.A, LPC

Provider Business Mailing Address
First Line	:	22 BILLYDAY AVE
Second Line	:
City	:	KENNER
State	:	LA
Zip	:	70065-3102
Country	:	US
Telephone Number	:	504-256-0884
Fax Number	:

Provider Business Practice Location Address
First Line	:	22 BILLYDAY AVE
Second Line	:
City	:	KENNER
State	:	LA
Zip	:	70065-3102
Country	:	US
Telephone Number	:	504-256-0884
Fax Number	:

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

Provider Enumeration Date	:	01/16/2024
Last Update Date	:	02/13/2026

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