Provider Demographics
NPI:1346722329
Name:BROWN AND BAKERS COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:BROWN AND BAKERS COUNSELING SERVICES, LLC
Other - Org Name:BROWN AND BAKERS COUNSELING SERVICES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATREACE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN-BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC/S
Authorized Official - Phone:843-473-5161
Mailing Address - Street 1:PO BOX 961
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29901-0961
Mailing Address - Country:US
Mailing Address - Phone:843-473-5161
Mailing Address - Fax:
Practice Address - Street 1:12 FAIRFIELD RD STE B3
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29907-2576
Practice Address - Country:US
Practice Address - Phone:843-473-5161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-05
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC101YP2500X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty