Provider Demographics
NPI:1427849215
Name:BAKER, HALEY RAE (LMFT)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:RAE
Last Name:BAKER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 SHELLEY DR APT 2
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-1500
Mailing Address - Country:US
Mailing Address - Phone:619-793-8712
Mailing Address - Fax:
Practice Address - Street 1:17 SHELLEY DR APT 2
Practice Address - Street 2:
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-1500
Practice Address - Country:US
Practice Address - Phone:619-793-8712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95758106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist