Individual
MS. BEVERLY BARNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 E MAIN ST, WINNFIELD, LA 71483-3227
(318) 649-9697
(318) 628-9697
Mailing address
600 E MAIN ST, WINNFIELD, LA 71483-3227
(318) 649-9697
(318) 628-9697
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000
HCBS
LA
Enumeration date
03/23/2022
Last updated
03/23/2022
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