Provider Demographics
NPI:1194843011
Name:BAKER, SYBIE P (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:SYBIE
Middle Name:P
Last Name:BAKER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:MS
Other - First Name:PENNY
Other - Middle Name:
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:2009 POLK DR NE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-1776
Mailing Address - Country:US
Mailing Address - Phone:256-519-9000
Mailing Address - Fax:256-519-9002
Practice Address - Street 1:2009 POLK DR NE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-1776
Practice Address - Country:US
Practice Address - Phone:256-508-0160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2622101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional