EBONY STAR BAKER-WHITE MALPCCAMS NPI 1467897728

NPI Information

NPI: 1467897728
Provider Name: EBONY STAR BAKER-WHITE, MA,LPC,CAMS
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
316 ALEXANDER STREET
SUITE 2
DOUGLASVILLE, GA
ZIP 30134
Phone: (404) 597-9910
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Ebony Star Baker-white, MA,LPC,CAMS is a professional counselor in Douglasville, GA. Ebony Star Baker-white, MA,LPC,CAMS NPI is 1467897728. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

316 ALEXANDER STREET
SUITE 2
DOUGLASVILLE, GA
ZIP 30134-205
Phone: (404) 597-9910
Fax: (888) 908-7984

The enumeration date for this NPI number is 5/1/2013 and was last updated on 9/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LPC007289	GEORGIA	No
2	101YP2500X	Counselor	Professional	LPC007289	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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