1841947553 NPI number — SUZANNE JEANETTE BARNETT PLPC

Table of content: CAROL M HUTH PHD (NPI 1457452138)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841947553 NPI number — SUZANNE JEANETTE BARNETT PLPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BARNETT
Provider First Name:
SUZANNE
Provider Middle Name:
JEANETTE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PLPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841947553
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/03/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CAMP BRANCH ACRES
Provider Second Line Business Mailing Address:
30001 S KIRCHER RD
Provider Business Mailing Address City Name:
GARDEN CITY
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64747-0011
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
816-896-5191
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
THE WELLNESS COUNSELING CENTER, LLC
Provider Second Line Business Practice Location Address:
105C WEST WALL STREET
Provider Business Practice Location Address City Name:
HARRISONVILLE
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64701-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-974-7378
Provider Business Practice Location Address Fax Number:
816-817-1619
Provider Enumeration Date:
03/03/2022

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  2022003330 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)