Provider Demographics
NPI:1386685683
Name:TERRY P. BARNES, MS, P.C.
Entity Type:Organization
Organization Name:TERRY P. BARNES, MS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:P
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:435-753-0272
Mailing Address - Street 1:PO BOX 436
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:UT
Mailing Address - Zip Code:84318-0436
Mailing Address - Country:US
Mailing Address - Phone:435-753-0272
Mailing Address - Fax:435-753-2252
Practice Address - Street 1:9 W CENTER ST
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:UT
Practice Address - Zip Code:84318-3201
Practice Address - Country:US
Practice Address - Phone:435-753-0272
Practice Address - Fax:435-753-2252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT116331-3902261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT16739OtherDMBA
UT23380OtherPEHP
UT46170597802001OtherBCBS OF UT
UT107007407101OtherSELECTHEALTH
UT461705978OtherFIRSTHEALTH
UT107007407101OtherSELECTHEALTH