Provider Demographics
NPI:1679030860
Name:BARNHART, FELIX SANDOVAL JR (LCSW)
Entity Type:Individual
Prefix:MR
First Name:FELIX
Middle Name:SANDOVAL
Last Name:BARNHART
Suffix:JR
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3451 MAYFIELD RANCH BLVD UNIT 345
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-2468
Mailing Address - Country:US
Mailing Address - Phone:512-659-1345
Mailing Address - Fax:
Practice Address - Street 1:1013 W 9TH ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78703-4923
Practice Address - Country:US
Practice Address - Phone:512-766-9029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-25
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX56696101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty