Provider Demographics
NPI:1972279677
Name:BARNHART, JEANNE KAY (LMSW)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:KAY
Last Name:BARNHART
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 N FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-2303
Mailing Address - Country:US
Mailing Address - Phone:989-824-2374
Mailing Address - Fax:989-546-8550
Practice Address - Street 1:2315 LUHRING ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-2527
Practice Address - Country:US
Practice Address - Phone:989-878-1081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-21
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801089121104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty