Doctor Name: | DR. WILLIAM BARNES |
NPI Number: | 1023297942 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD., DCC. , LHD |
License Number: | |
Business Practice Address: | 2255 18th St S Saint Petersburg, FL - 337123605 |
Business Phone Number: | 7273742891 |
Business Fax Number: | |
Mailing Address: | 2255 18th St S, SAINT PETERSBURG |
State: | FL |
Postal Code: | 337123605 |
Phone Number: | 7273742891 |
Fax Number: | |
NPI Enumeration Date: | 10/26/2007 |
NPI Last Update Date: | 10/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP1600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Pastoral |
Taxonomy Definition: |