Provider Demographics
NPI:1184857328
Name:BARBEE, RICHARD DWAYNE (LMFT, MED)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:DWAYNE
Last Name:BARBEE
Suffix:
Gender:M
Credentials:LMFT, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:926 GLENNSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-1969
Mailing Address - Country:US
Mailing Address - Phone:865-388-1621
Mailing Address - Fax:865-381-1621
Practice Address - Street 1:926 GLENNSHIRE DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-1969
Practice Address - Country:US
Practice Address - Phone:865-388-1621
Practice Address - Fax:865-381-1621
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-03
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000637106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist