Provider Demographics
NPI:1164522041
Name:PATRICIA BAER & ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:PATRICIA BAER & ASSOCIATES, PLLC
Other - Org Name:CONNECTIONS COUNSELING AND LIFE COACHING SERVICES, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:MEMBER PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAER
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, ACSW
Authorized Official - Phone:616-392-6116
Mailing Address - Street 1:151 LAKEVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49424-2250
Mailing Address - Country:US
Mailing Address - Phone:616-392-6116
Mailing Address - Fax:616-399-6335
Practice Address - Street 1:36 W 8TH ST
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-2701
Practice Address - Country:US
Practice Address - Phone:616-392-6116
Practice Address - Fax:616-399-6335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010626141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty