Provider Demographics
NPI:1326728650
Name:BALDON, MARY MARIA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:MARIA
Last Name:BALDON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8338 S MEADOW BIRD CIR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-6148
Mailing Address - Country:US
Mailing Address - Phone:832-279-0294
Mailing Address - Fax:
Practice Address - Street 1:8338 S MEADOW BIRD CIR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-6148
Practice Address - Country:US
Practice Address - Phone:832-279-0294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX56042101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health