Provider Demographics
NPI:1295008639
Name:BAKER, ALLISON (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:
Last Name:BAKER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 MANOR RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-5471
Mailing Address - Country:US
Mailing Address - Phone:512-499-0090
Mailing Address - Fax:512-852-4425
Practice Address - Street 1:4800 MANOR RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-5471
Practice Address - Country:US
Practice Address - Phone:512-499-0090
Practice Address - Fax:512-852-4425
Is Sole Proprietor?:No
Enumeration Date:2012-02-15
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64632101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health