Provider Demographics
NPI:1003028911
Name:BARRINEAU, DANA (SST II)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:BARRINEAU
Suffix:
Gender:F
Credentials:SST II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 STADIUM DR. APT. Q3
Mailing Address - Street 2:
Mailing Address - City:PHENIX CITY
Mailing Address - State:AL
Mailing Address - Zip Code:36867
Mailing Address - Country:US
Mailing Address - Phone:334-412-0577
Mailing Address - Fax:
Practice Address - Street 1:2100 COMER AVE.
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904
Practice Address - Country:US
Practice Address - Phone:706-596-5764
Practice Address - Fax:706-596-5770
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor