Provider Demographics
NPI:1306193065
Name:BAIRD, KAREN D (MA, LPC, LAC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:D
Last Name:BAIRD
Suffix:
Gender:F
Credentials:MA, LPC, LAC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2620 CENTENARY BLVD STE 304
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71104-3358
Mailing Address - Country:US
Mailing Address - Phone:318-226-1555
Mailing Address - Fax:318-226-0406
Practice Address - Street 1:2620 CENTENARY BLVD STE 304
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71104-3358
Practice Address - Country:US
Practice Address - Phone:318-226-1555
Practice Address - Fax:318-226-0406
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-12
Last Update Date:2012-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1255101YA0400X
LA3745101YM0800X
LA298252101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional