Provider Demographics
NPI:1891968095
Name:BARNES, GILBERT ANDERSON (MS)
Entity Type:Individual
Prefix:
First Name:GILBERT
Middle Name:ANDERSON
Last Name:BARNES
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5566 THOMAS RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27537-8947
Mailing Address - Country:US
Mailing Address - Phone:252-492-7385
Mailing Address - Fax:
Practice Address - Street 1:201 HYCO STREET
Practice Address - Street 2:
Practice Address - City:NORLINA
Practice Address - State:NC
Practice Address - Zip Code:27563
Practice Address - Country:US
Practice Address - Phone:252-456-9900
Practice Address - Fax:252-456-9905
Is Sole Proprietor?:No
Enumeration Date:2008-04-08
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC690101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)