Provider Demographics
NPI:1720364086
Name:BARNES, ALICIA (DO)
Entity type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:
Last Name:BARNES
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1068 CRESTHAVEN RD STE 300
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-0809
Mailing Address - Country:US
Mailing Address - Phone:901-866-8864
Mailing Address - Fax:
Practice Address - Street 1:920 MADISON AVE STE 200
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38103-3434
Practice Address - Country:US
Practice Address - Phone:901-448-2400
Practice Address - Fax:901-302-2420
Is Sole Proprietor?:No
Enumeration Date:2011-10-31
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
NY2791712084P0800X
MO20170155312084P0804X
TN50382084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry