Provider Demographics
NPI:1205518339
Name:GLEATON, CAROLINA BARBER
Entity type:Individual
Prefix:MRS
First Name:CAROLINA
Middle Name:BARBER
Last Name:GLEATON
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:CAROLINA
Other - Middle Name:HOPE
Other - Last Name:BARBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13444 GRAN BAY PKWY APT 116
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32258-6492
Mailing Address - Country:US
Mailing Address - Phone:850-273-1048
Mailing Address - Fax:
Practice Address - Street 1:5776 SAINT AUGUSTINE RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-8046
Practice Address - Country:US
Practice Address - Phone:904-448-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist