Provider Demographics
NPI:1407466543
Name:PARI B. BAKER LCSW LLC
Entity Type:Organization
Organization Name:PARI B. BAKER LCSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PARI
Authorized Official - Middle Name:BARR
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:864-201-3082
Mailing Address - Street 1:11189 SAM SNEAD HWY
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:VA
Mailing Address - Zip Code:24445-2889
Mailing Address - Country:US
Mailing Address - Phone:864-201-3082
Mailing Address - Fax:
Practice Address - Street 1:11189 SAM SNEAD HWY
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:VA
Practice Address - Zip Code:24445-2889
Practice Address - Country:US
Practice Address - Phone:864-201-3082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-04
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1770020315Medicaid