Provider Demographics
NPI:1316680994
Name:BARNWELL, XAVIERA KYRE
Entity type:Individual
Prefix:
First Name:XAVIERA
Middle Name:KYRE
Last Name:BARNWELL
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 1:2121 WINDY HILL RD APT 1611
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-6415
Mailing Address - Country:US
Mailing Address - Phone:770-864-4639
Mailing Address - Fax:
Practice Address - Street 1:2121 WINDY HILL RD APT 1611
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-6415
Practice Address - Country:US
Practice Address - Phone:770-864-4639
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-20
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical