Provider Demographics
NPI:1003608316
Name:BARNES, CHRISTOPHER (LCMHCA)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:BARNES
Suffix:
Gender:M
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 790054
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28206-7900
Mailing Address - Country:US
Mailing Address - Phone:804-724-4720
Mailing Address - Fax:
Practice Address - Street 1:3720 N TRYON ST
Practice Address - Street 2:STE 113, BOX 790054
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28206
Practice Address - Country:US
Practice Address - Phone:804-724-4720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA21422101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health