Basic Information
| Provider Information | |||||||||
| NPI: | 1841947553 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BARNETT | ||||||||
| FirstName: | SUZANNE | ||||||||
| MiddleName: | JEANETTE | ||||||||
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| Credential: | PLPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | CAMP BRANCH ACRES | ||||||||
| Address2: | 30001 S KIRCHER RD | ||||||||
| City: | GARDEN CITY | ||||||||
| State: | MO | ||||||||
| PostalCode: | 647470011 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8168965191 | ||||||||
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| Practice Location | |||||||||
| Address1: | THE WELLNESS COUNSELING CENTER, LLC | ||||||||
| Address2: | 105C WEST WALL STREET | ||||||||
| City: | HARRISONVILLE | ||||||||
| State: | MO | ||||||||
| PostalCode: | 647010001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8169747378 | ||||||||
| FaxNumber: | 8168171619 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/03/2022 | ||||||||
| LastUpdateDate: | 03/03/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/18/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 2022003330 | MO | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.