Provider Demographics
NPI:1235849134
Name:BARLATIER-JOHNSON, HADIYA
Entity Type:Individual
Prefix:
First Name:HADIYA
Middle Name:
Last Name:BARLATIER-JOHNSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3912 BISHOP CT
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31605-6913
Mailing Address - Country:US
Mailing Address - Phone:325-320-4408
Mailing Address - Fax:
Practice Address - Street 1:3912 BISHOP CT
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31605-6913
Practice Address - Country:US
Practice Address - Phone:325-320-4408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-01
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health