Provider Demographics
NPI:1497432512
Name:BARNEY, SHANNA LEAH (LMHC-LP)
Entity Type:Individual
Prefix:
First Name:SHANNA
Middle Name:LEAH
Last Name:BARNEY
Suffix:
Gender:F
Credentials:LMHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 BARNEY DR
Mailing Address - Street 2:
Mailing Address - City:MILLERTON
Mailing Address - State:NY
Mailing Address - Zip Code:12546-4665
Mailing Address - Country:US
Mailing Address - Phone:845-337-7173
Mailing Address - Fax:845-337-7173
Practice Address - Street 1:257 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW PALTZ
Practice Address - State:NY
Practice Address - Zip Code:12561-1610
Practice Address - Country:US
Practice Address - Phone:743-687-8745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
P122479101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health