Provider Demographics
NPI:1073232591
Name:BARNEY, DEBORAH DIXON (MA, LCMHCA, NCC)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:DIXON
Last Name:BARNEY
Suffix:
Gender:F
Credentials:MA, LCMHCA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 SWEETEN CREEK RD STE 3
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-2739
Mailing Address - Country:US
Mailing Address - Phone:803-312-3433
Mailing Address - Fax:
Practice Address - Street 1:3601 SWEETEN CREEK RD STE 3
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-2739
Practice Address - Country:US
Practice Address - Phone:803-312-3433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-26
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA18008101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health