Provider Demographics
NPI:1174168660
Name:BARNHART, ADAM JR
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:BARNHART
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2209 SW 27TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73108-6418
Mailing Address - Country:US
Mailing Address - Phone:405-706-0683
Mailing Address - Fax:
Practice Address - Street 1:1390 S DOUGLAS BLVD STE 102
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73130-5271
Practice Address - Country:US
Practice Address - Phone:405-535-3256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-08
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKYUQ947001367OtherBLUE CROSS BLUE SHIELD