Provider Demographics
NPI:1669131090
Name:BAAS, JAIME DANIELLE (LMFT)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:DANIELLE
Last Name:BAAS
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 1:2 COPPER CRK
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-7872
Mailing Address - Country:US
Mailing Address - Phone:601-325-7070
Mailing Address - Fax:
Practice Address - Street 1:140 MAYFAIR RD STE 700
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-1616
Practice Address - Country:US
Practice Address - Phone:601-255-8238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-13
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MST0528106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist