Provider Demographics
NPI:1407519465
Name:BARNES, KATHRYN (MS, LPC-A)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:BARNES
Suffix:
Gender:F
Credentials:MS, LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 TX-78
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098
Mailing Address - Country:US
Mailing Address - Phone:469-342-3468
Mailing Address - Fax:
Practice Address - Street 1:303 TX-78
Practice Address - Street 2:#100
Practice Address - City:WYLIE
Practice Address - State:TN
Practice Address - Zip Code:75098
Practice Address - Country:US
Practice Address - Phone:469-342-3468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-18
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86598101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty