Provider Demographics
NPI:1699256628
Name:BARBER, BETH EVELYN (LMSW)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:EVELYN
Last Name:BARBER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 MILLERCREST DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-4331
Mailing Address - Country:US
Mailing Address - Phone:423-434-9765
Mailing Address - Fax:
Practice Address - Street 1:911 MILLERCREST DR
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-4331
Practice Address - Country:US
Practice Address - Phone:423-434-9765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-27
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN101161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical