Provider Demographics
NPI:1528715661
Name:BARNETT, JANICE ALECIA (MAH)
Entity type:Individual
Prefix:MS
First Name:JANICE
Middle Name:ALECIA
Last Name:BARNETT
Suffix:
Gender:F
Credentials:MAH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:727 S MAIN ST APT 29
Mailing Address - Street 2:
Mailing Address - City:HINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31313-4643
Mailing Address - Country:US
Mailing Address - Phone:210-896-4985
Mailing Address - Fax:
Practice Address - Street 1:727 S MAIN ST APT 29
Practice Address - Street 2:
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31313-4643
Practice Address - Country:US
Practice Address - Phone:210-896-4985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-08
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health