Provider Demographics
NPI:1316621840
Name:CUIS-BARNES, JHONLIE (LMBT)
Entity type:Individual
Prefix:
First Name:JHONLIE
Middle Name:
Last Name:CUIS-BARNES
Suffix:
Gender:F
Credentials:LMBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1922 MERRIMAC DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-2614
Mailing Address - Country:US
Mailing Address - Phone:910-813-9225
Mailing Address - Fax:
Practice Address - Street 1:404 HOPE MILLS RD STE C3
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-2222
Practice Address - Country:US
Practice Address - Phone:910-813-9225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-14
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16273225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist