Provider Demographics
NPI:1245054691
Name:BARNES, MEGHAN NICOLE (NCC, LPC)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:NICOLE
Last Name:BARNES
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2345 21ST RD
Mailing Address - Street 2:
Mailing Address - City:UDALL
Mailing Address - State:KS
Mailing Address - Zip Code:67146-7222
Mailing Address - Country:US
Mailing Address - Phone:316-708-7097
Mailing Address - Fax:
Practice Address - Street 1:3219 E DOUGLAS AVE
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67218-1024
Practice Address - Country:US
Practice Address - Phone:316-201-6047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04882101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional