Provider Demographics
NPI:1932215878
Name:BARNES, AMELIA K (LMHC MA MPT)
Entity Type:Individual
Prefix:MS
First Name:AMELIA
Middle Name:K
Last Name:BARNES
Suffix:
Gender:F
Credentials:LMHC MA MPT
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC MA MPT
Mailing Address - Street 1:8395 KEYSTONE CROSSING
Mailing Address - Street 2:STE 306
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240
Mailing Address - Country:US
Mailing Address - Phone:317-257-7544
Mailing Address - Fax:317-257-7443
Practice Address - Street 1:8395 KEYSTONE CROSSING
Practice Address - Street 2:STE 306
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240
Practice Address - Country:US
Practice Address - Phone:317-257-7544
Practice Address - Fax:317-257-7443
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39000294A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health