Provider Demographics
NPI:1285011874
Name:BARNES, BEVERLY GRACE (LCMHC, LCAS)
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:GRACE
Last Name:BARNES
Suffix:
Gender:F
Credentials:LCMHC, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 CHATHAM RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-3361
Mailing Address - Country:US
Mailing Address - Phone:912-665-1285
Mailing Address - Fax:
Practice Address - Street 1:148 CHATHAM RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-3361
Practice Address - Country:US
Practice Address - Phone:912-665-1285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-03
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3732101YP2500X
NC872101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)