Provider Demographics
NPI:1588490429
Name:BARNES, ALLISON VICTORIA
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:VICTORIA
Last Name:BARNES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:VICTOIA
Other - Last Name:LOVE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ALLISON LOVE
Mailing Address - Street 1:14668 N 210 RD
Mailing Address - Street 2:
Mailing Address - City:OKMULGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74447-8919
Mailing Address - Country:US
Mailing Address - Phone:918-269-5225
Mailing Address - Fax:
Practice Address - Street 1:14668 N 210 RD
Practice Address - Street 2:
Practice Address - City:OKMULGEE
Practice Address - State:OK
Practice Address - Zip Code:74447-8919
Practice Address - Country:US
Practice Address - Phone:918-269-5225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator