Provider Demographics
NPI:1518177542
Name:WARNER, BARBARA GULESSERIAN (MS, PMHCNS - BC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:GULESSERIAN
Last Name:WARNER
Suffix:
Gender:F
Credentials:MS, PMHCNS - BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:754 EAGLES HARBOR DR
Mailing Address - Street 2:
Mailing Address - City:HODGES
Mailing Address - State:SC
Mailing Address - Zip Code:29653-9085
Mailing Address - Country:US
Mailing Address - Phone:678-427-1404
Mailing Address - Fax:
Practice Address - Street 1:754 EAGLES HARBOR DR
Practice Address - Street 2:
Practice Address - City:HODGES
Practice Address - State:SC
Practice Address - Zip Code:29653-9085
Practice Address - Country:US
Practice Address - Phone:678-427-1404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3056163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health