Provider Demographics
NPI:1679206247
Name:BARTHLETT, KWANE OHENE JR (MHTC, DMHC)
Entity Type:Individual
Prefix:MR
First Name:KWANE
Middle Name:OHENE
Last Name:BARTHLETT
Suffix:JR
Gender:M
Credentials:MHTC, DMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12018
Mailing Address - Street 2:
Mailing Address - City:SAINT THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00801
Mailing Address - Country:US
Mailing Address - Phone:340-201-2459
Mailing Address - Fax:
Practice Address - Street 1:2C-1 ESTATE MANDAHL 6540
Practice Address - Street 2:
Practice Address - City:SAINT THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802
Practice Address - Country:US
Practice Address - Phone:202-256-1530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-01
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VI1-56355-1LOtherLICENSE