Provider Demographics
NPI:1720062797
Name:BARNHART, VALERIE A (LPC)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:A
Last Name:BARNHART
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 N DENTON
Mailing Address - Street 2:
Mailing Address - City:LIBERAL
Mailing Address - State:MO
Mailing Address - Zip Code:64762-9269
Mailing Address - Country:US
Mailing Address - Phone:417-667-1768
Mailing Address - Fax:417-944-1440
Practice Address - Street 1:203 W 11TH ST
Practice Address - Street 2:
Practice Address - City:LAMAR
Practice Address - State:MO
Practice Address - Zip Code:64759-1426
Practice Address - Country:US
Practice Address - Phone:417-667-1768
Practice Address - Fax:417-944-1440
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-02
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000175971101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1720062797Medicaid
1720062797OtherNPI