Provider Demographics
NPI:1467864579
Name:BARNWELL, AMY LAVELLE (MS, NCC, LPCA)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:LAVELLE
Last Name:BARNWELL
Suffix:
Gender:F
Credentials:MS, NCC, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2725 CRESSET DR
Mailing Address - Street 2:
Mailing Address - City:WINTERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28590-6602
Mailing Address - Country:US
Mailing Address - Phone:252-525-4501
Mailing Address - Fax:
Practice Address - Street 1:2725 CRESSET DR
Practice Address - Street 2:
Practice Address - City:WINTERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28590-6602
Practice Address - Country:US
Practice Address - Phone:252-525-4501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-22
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA10768101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health