Provider Demographics
NPI:1902327109
Name:BARNETT, LAMONT ZEBEDIAH (PHD, LCAS-A, MAC)
Entity Type:Individual
Prefix:DR
First Name:LAMONT
Middle Name:ZEBEDIAH
Last Name:BARNETT
Suffix:
Gender:M
Credentials:PHD, LCAS-A, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2011 PRINCETON TOWN ST
Mailing Address - Street 2:
Mailing Address - City:KNIGHTDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27545-9635
Mailing Address - Country:US
Mailing Address - Phone:919-539-9400
Mailing Address - Fax:
Practice Address - Street 1:2747 SUNSET AVE STE 109
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-3751
Practice Address - Country:US
Practice Address - Phone:919-539-9400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-28
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TA0400X
NC22667101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)