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NPI Code Detail

MEDICARE: HEIKE BARNETT LAPC

MEDICARE: HEIKE BARNETT LAPC
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 CounselorAPC006074GA

General Provider Information

NPI Number : 1609348366
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIKE BARNETT LAPC
Provider Business Mailing Address
First Line : 610 RIDLEY AVE
Second Line :
City : LAGRANGE
State : GA
Zip : 30240-2236
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 610 RIDLEY AVE
Second Line :
City : LAGRANGE
State : GA
Zip : 30240-2236
Country : US
Telephone Number : 706-884-5050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2018
Last Update Date : 12/19/2018

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Directions to “ HEIKE BARNETT LAPC” Practice Location

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