Provider Demographics
NPI:1881212785
Name:BARNES, CHARDAE N (LAPC)
Entity Type:Individual
Prefix:MS
First Name:CHARDAE
Middle Name:N
Last Name:BARNES
Suffix:
Gender:F
Credentials:LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1984 HOWELL MILL RD NW UNIT 250102
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30325-2051
Mailing Address - Country:US
Mailing Address - Phone:678-221-6009
Mailing Address - Fax:
Practice Address - Street 1:3201 DOWNWOOD CIRCLE NW UNIT 2417
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327
Practice Address - Country:US
Practice Address - Phone:678-221-6009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-08
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC007011101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor