Provider Demographics
NPI:1386108702
Name:BARFIELD, NIKEKA SHALISE
Entity type:Individual
Prefix:
First Name:NIKEKA
Middle Name:SHALISE
Last Name:BARFIELD
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 1:13540 E BOUNDARY RD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-3943
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:804-415-8308
Practice Address - Street 1:13540 E BOUNDARY RD
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-3943
Practice Address - Country:US
Practice Address - Phone:804-550-6733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-30
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health