Barnes, Candace

Barnes, Candace is an individual health care provider with primary practice located at 1239 E Main St , Bartow FL 33830-5058. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Barnes, Candace can be contacted via phone (863) 519-0575.

Contact Information

Primary practice address
1239 E Main St Bartow FL 33830-5058
Phone: (863) 519-0575
Fax: (863) 582-9251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH12002 Florida
Other Service Providers / Case Manager/Care Coordinator 171M00000X MH12002 Florida

Profile Details

NPI number 1760784565
LBN Legal business name Barnes, Candace
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2010
Last updated Mar 19th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760784565 NPPES
Florida MEDICAID 009458600
Florida MEDICAID 009882900

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