Provider Demographics
NPI:1437437662
Name:BARNES, LETITIA WILLETTS (LPC)
Entity Type:Individual
Prefix:MS
First Name:LETITIA
Middle Name:WILLETTS
Last Name:BARNES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:296 S. MAIN STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009
Mailing Address - Country:US
Mailing Address - Phone:678-956-3253
Mailing Address - Fax:770-442-1542
Practice Address - Street 1:296 S. MAIN STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009
Practice Address - Country:US
Practice Address - Phone:678-956-3253
Practice Address - Fax:770-442-1542
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-21
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC006386101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional