Barron & Bendall Healing Center, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BARRON & BENDALL HEALING CENTER, LLC

Practice address

340 E Main St
Enon, OH 45323-1058

Phone

(937) 797-1926

NPI assigned

May 12, 2021

Last updated

May 12, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Fayetta J Barron, LISW-SNPI 1487196788

Title

Owner/Partner

Phone

(937) 241-9230

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fayetta Barron, LISW-S, LICDC

  • Social Worker
  • Fairborn, OH
  • NPI 1487196788

  Clinical

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1891379038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 JAMES DR",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453245219",
            "telephone_number": "937-241-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E MAIN ST",
            "city": "ENON",
            "state": "OH",
            "postal_code": "453231058",
            "telephone_number": "937-797-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRON & BENDALL HEALING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "BARRON",
        "authorized_official_first_name": "FAYETTA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "937-241-9230",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John David Anderson
• Kaitlynn Ault, CDCA
• Alicia Bendall, LPN
• Bradley Bendall, CDCA
• Katherine Bendall
• Julia Marie Brugler, RN
• Tara Marie Cooper

• Clinical Social Worker in Enon, OH
• Providers in Enon, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.