Provider Demographics
NPI:1699512004
Name:KENYA R. BARNES, LMFT, LLC
Entity type:Organization
Organization Name:KENYA R. BARNES, LMFT, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:KENYA
Authorized Official - Middle Name:RANEE
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:229-630-6944
Mailing Address - Street 1:415 COWART AVE STE A
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-2651
Mailing Address - Country:US
Mailing Address - Phone:229-242-0097
Mailing Address - Fax:229-588-4122
Practice Address - Street 1:415 COWART AVE STE A
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-2651
Practice Address - Country:US
Practice Address - Phone:229-242-0097
Practice Address - Fax:229-588-4122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-11
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty