Provider Demographics
NPI:1467712216
Name:BARNES, DARA
Entity Type:Individual
Prefix:
First Name:DARA
Middle Name:
Last Name:BARNES
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 1:249 WILSON DR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-8781
Mailing Address - Country:US
Mailing Address - Phone:828-268-2172
Mailing Address - Fax:
Practice Address - Street 1:249 WILSON DR
Practice Address - Street 2:SUITE 5
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-8781
Practice Address - Country:US
Practice Address - Phone:828-268-2172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-25
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2615103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist