Provider Demographics
NPI:1437719010
Name:BAKER, BILLIE (LDCD, LPC INTERN)
Entity Type:Individual
Prefix:MRS
First Name:BILLIE
Middle Name:
Last Name:BAKER
Suffix:
Gender:F
Credentials:LDCD, LPC INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3447 MCREYNOLDS RD
Mailing Address - Street 2:
Mailing Address - City:SANGER
Mailing Address - State:TX
Mailing Address - Zip Code:76266-5776
Mailing Address - Country:US
Mailing Address - Phone:940-465-6604
Mailing Address - Fax:
Practice Address - Street 1:3447 MCREYNOLDS RD
Practice Address - Street 2:
Practice Address - City:SANGER
Practice Address - State:TX
Practice Address - Zip Code:76266-5776
Practice Address - Country:US
Practice Address - Phone:940-465-6604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
14711101YA0400X
TX78752101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)