Provider Demographics
NPI:1790291466
Name:BARNES, YVONNE (LGPC)
Entity Type:Individual
Prefix:MS
First Name:YVONNE
Middle Name:
Last Name:BARNES
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:MS
Other - First Name:YVONNE
Other - Middle Name:
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8903 STONE CREEK PLACE, UNIT #202
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208
Mailing Address - Country:US
Mailing Address - Phone:443-983-8580
Mailing Address - Fax:
Practice Address - Street 1:1407 LOCHNER RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21239-2932
Practice Address - Country:US
Practice Address - Phone:443-402-3200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-18
Last Update Date:2017-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP7335101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health