Provider Demographics
NPI:1730956939
Name:BARNES, ARIEL MARISSA (LMFTA)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:MARISSA
Last Name:BARNES
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1624 COUNTY ROAD 607
Mailing Address - Street 2:
Mailing Address - City:ALVARADO
Mailing Address - State:TX
Mailing Address - Zip Code:76009-6781
Mailing Address - Country:US
Mailing Address - Phone:682-299-0525
Mailing Address - Fax:
Practice Address - Street 1:2115 TEAKWOOD LN
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-4421
Practice Address - Country:US
Practice Address - Phone:972-985-9579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX205262106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist