Provider Demographics
NPI:1407233950
Name:CLAUDIA ROJAS-BAISDEN
Entity Type:Organization
Organization Name:CLAUDIA ROJAS-BAISDEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMHC
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROJAS-BAISDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-655-5851
Mailing Address - Street 1:101 AZALEA POINT DR N
Mailing Address - Street 2:
Mailing Address - City:PONTE VEDRA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32082-3664
Mailing Address - Country:US
Mailing Address - Phone:904-655-5851
Mailing Address - Fax:
Practice Address - Street 1:13000 SAWGRASS VILLAGE CIR
Practice Address - Street 2:SUITE 11
Practice Address - City:PONTE VEDRA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32082-5016
Practice Address - Country:US
Practice Address - Phone:904-280-8555
Practice Address - Fax:904-280-8562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-05
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8671101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty