Provider Demographics
NPI:1679938146
Name:BAKER, HOPE
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:
Last Name:BAKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5850 US ROUTE 60
Mailing Address - Street 2:BOX 11 SUMMIT PLAZA
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41102-9516
Mailing Address - Country:US
Mailing Address - Phone:606-929-9155
Mailing Address - Fax:606-929-9833
Practice Address - Street 1:5850 US ROUTE 60
Practice Address - Street 2:BOX 11 SUMMIT PLAZA
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41102-9516
Practice Address - Country:US
Practice Address - Phone:606-929-9155
Practice Address - Fax:606-929-9833
Is Sole Proprietor?:No
Enumeration Date:2015-12-28
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator