Nicole Denice Barnes, CSAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Camp Lejeune, NC
NPI 1649664152 · NPPES record last updated Mar 23, 2015
Key facts
- NPI
- 1649664152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 3017 (NC)
- Practice address
- 100 Brewster Blvd
Camp Lejeune, NC 28547-2538 - Phone
- (910) 450-4300
- NPI assigned
- Mar 23, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3017 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Awakening Wellness Clinic, Inc | Current | Accepting new patients | |
| The Legacy Group Foundation, Inc | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3017 | NC | Yes |
Addresses
Primary practice location
100 Brewster Blvd
Camp Lejeune, NC 28547-2538
Mailing address
6655 First Park Ten Blvd
Suite 222
San Antonio, TX 78213-4308
Phone (210) 452-2503
Other providers in Camp Lejeune, NC
- Joshua D Barclay
- Lori Barclay
- Robin K Bareng
- Michael Matthew Barna
- Breana Lisette Barnes
- Chad Christian Barnhart
- Emily Catherine Barrett
- Joseph Pacifico Barrion
- Suzanne Barron
- Richard Dowell Barrow II
All providers in Camp Lejeune, NC · Addiction (Substance Use Disorder) Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.