Provider Demographics
NPI:1639856743
Name:BAKER, SARAH JOY (BA)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:JOY
Last Name:BAKER
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:JOY
Other - Last Name:WADDLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:1468 W HIGHWAY 1376
Mailing Address - Street 2:
Mailing Address - City:EAST BERNSTADT
Mailing Address - State:KY
Mailing Address - Zip Code:40729-6907
Mailing Address - Country:US
Mailing Address - Phone:606-231-1549
Mailing Address - Fax:
Practice Address - Street 1:1662 HIGHWAY 192 E
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-3114
Practice Address - Country:US
Practice Address - Phone:606-389-5370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-29
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor