Provider Demographics
NPI:1992088678
Name:WILMES, BARBARA ANN
Entity type:Individual
Prefix:
First Name:BARBARA ANN
Middle Name:
Last Name:WILMES
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 1:134 E HAMPTON WAY
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-8138
Mailing Address - Country:US
Mailing Address - Phone:561-746-4828
Mailing Address - Fax:
Practice Address - Street 1:134 E HAMPTON WAY
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-8138
Practice Address - Country:US
Practice Address - Phone:561-746-4828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0705581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical