Provider Demographics
NPI:1760688980
Name:BARNETT, DONELL LAKEITH (PHD)
Entity type:Individual
Prefix:DR
First Name:DONELL
Middle Name:LAKEITH
Last Name:BARNETT
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9143 S BELL AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60643-6706
Mailing Address - Country:US
Mailing Address - Phone:708-529-5853
Mailing Address - Fax:
Practice Address - Street 1:9143 S BELL AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60643-6706
Practice Address - Country:US
Practice Address - Phone:708-529-5853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
IL071.010018103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
No101Y00000XBehavioral Health & Social Service ProvidersCounselor