Provider Demographics
NPI:1487045019
Name:THE BARNABAS TEAM
Entity Type:Organization
Organization Name:THE BARNABAS TEAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:S
Authorized Official - Last Name:LASTER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:4794-268-3958
Mailing Address - Street 1:8 HALSTED CIR STE 2
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72756-3144
Mailing Address - Country:US
Mailing Address - Phone:479-903-2566
Mailing Address - Fax:
Practice Address - Street 1:8 HALSTED CIR STE 2
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-3144
Practice Address - Country:US
Practice Address - Phone:479-903-2566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-18
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1410084101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty