Individual
LASHANA BARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 COMMERCE ST, MANNING, SC 29102-2638
(803) 435-2124
Mailing address
215 COMMERCE ST, MANNING, SC 29102-2638
(803) 435-2124
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3337
MEDICARE
SC
05
—
376421
—
SC
Enumeration date
04/25/2013
Last updated
01/15/2020
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