Provider Demographics
NPI:1841947553
Name:BARNETT, SUZANNE JEANETTE (PLPC)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:JEANETTE
Last Name:BARNETT
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CAMP BRANCH ACRES
Mailing Address - Street 2:30001 S KIRCHER RD
Mailing Address - City:GARDEN CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64747-0011
Mailing Address - Country:US
Mailing Address - Phone:816-896-5191
Mailing Address - Fax:
Practice Address - Street 1:THE WELLNESS COUNSELING CENTER, LLC
Practice Address - Street 2:105C WEST WALL STREET
Practice Address - City:HARRISONVILLE
Practice Address - State:MO
Practice Address - Zip Code:64701-0001
Practice Address - Country:US
Practice Address - Phone:816-974-7378
Practice Address - Fax:816-817-1619
Is Sole Proprietor?:No
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022003330101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional