Provider Demographics
NPI:1093025595
Name:PAMELA A. BAKER LPC
Entity Type:Organization
Organization Name:PAMELA A. BAKER LPC
Other - Org Name:PAMELA A. BAKER LPC & ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:828-349-6185
Mailing Address - Street 1:175 SLOAN ROAD
Mailing Address - Street 2:PO BOX 227
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28744-0227
Mailing Address - Country:US
Mailing Address - Phone:828-349-6185
Mailing Address - Fax:828-349-6112
Practice Address - Street 1:175 SLOAN RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28744-0227
Practice Address - Country:US
Practice Address - Phone:828-349-6185
Practice Address - Fax:828-349-6112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1760405591Medicaid
NC1922169697Medicaid