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Provider Information for 1891365763


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BLYTHE BARNES LPC


Sex: Female

NPI: 1891365763
Last Updated: 2023-11-13
Certification Date: 2023-11-13

Details

NameValue
NPI1891365763
Enumeration Date2021-07-01
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 6281 NAAMAN FOREST BLVD APT 1309
GARLAND, TX 75044-5697
United States

Phone: 318-455-3319 | Fax:469-298-9352
 
Primary Practice Address 6281 NAAMAN FOREST BLVD APT 1309
GARLAND, TX 75044-5697
United States

Phone: 318-455-3319 | Fax:469-298-9352
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YM0800X - Counselor - Mental HealthTX76906
Yes 193400000X - Single Specialty Group
101YP2500X - Counselor - Professional
TX76906