Provider Demographics
NPI:1104256148
Name:BARROS, TIANA
Entity type:Individual
Prefix:
First Name:TIANA
Middle Name:
Last Name:BARROS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4429 LAWRENCE ST
Mailing Address - Street 2:2029
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89081-3251
Mailing Address - Country:US
Mailing Address - Phone:774-269-5483
Mailing Address - Fax:
Practice Address - Street 1:4429 LAWRENCE ST
Practice Address - Street 2:2029
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89081-3251
Practice Address - Country:US
Practice Address - Phone:774-269-5483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-12
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor