Barnes, Wanda

Barnes, Wanda is an individual health care provider with primary practice located at 3840 5Th Ave N , Saint Petersburg FL 33713-7521. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Barnes, Wanda can be contacted via phone (727) 367-2273.

Contact Information

Primary practice address
3840 5Th Ave N Saint Petersburg FL 33713-7521
Phone: (727) 367-2273
Fax: (727) 800-6929
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH10356 Florida

Profile Details

NPI number 1588843403
LBN Legal business name Barnes, Wanda
Credentials PHD., , LMHCI
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2007
Last updated Nov 13th, 2023 - about 3 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 1588843403 NPPES
Florida MEDICAID 201919487
Florida MEDICAID 015382500

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