Provider Demographics
NPI:1043868680
Name:BARNES, GENEVA YVONNE (LPCMH, NCC)
Entity type:Individual
Prefix:MS
First Name:GENEVA
Middle Name:YVONNE
Last Name:BARNES
Suffix:
Gender:F
Credentials:LPCMH, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22287 CALLAWAY AVE
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-5601
Mailing Address - Country:US
Mailing Address - Phone:141-060-3323
Mailing Address - Fax:
Practice Address - Street 1:1330 MIDDLEFORD RD STE SEAFORD
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-3648
Practice Address - Country:US
Practice Address - Phone:302-990-2414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-27
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE1720101YA0400X
101YP2500X
DEPC-0000898101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional