MEDICARE: MRS. AKIYA SHANICE BARNES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	TX
2	101Y00000X	Counselor	TX
3	171M00000X	Case Manager/Care Coordinator	TX
4	251B00000X	Case Management Agency	TX
5	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1831726728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AKIYA SHANICE BARNES

Provider Business Mailing Address
First Line	:	919 SADDLEBROOK DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78245-1630
Country	:	US
Telephone Number	:	210-259-1713
Fax Number	:

Provider Business Practice Location Address
First Line	:	919 SADDLEBROOK DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78245-1630
Country	:	US
Telephone Number	:	210-259-1713
Fax Number	:

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

Provider Enumeration Date	:	03/23/2020
Last Update Date	:	04/20/2026

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