Patricia Maree Baker, L.P.C.

Individual provider Active NPI Professional Counselor · Texarkana, TX

NPI 1154627644 · NPPES record last updated Oct 31, 2013

Key facts

NPI
1154627644
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
64519 (TX)
Practice address
1001 Texas Blvd.
Suite 106
Texarkana, TX 75501
Phone
(430) 342-2246
Fax
(888) 381-3839
NPI assigned
Feb 1, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
64519TXMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 64519 TX Yes

Addresses

Primary practice location

1001 Texas Blvd.
Suite 106
Texarkana, TX 75501

Mailing address

1001 Texas Boulevard
Suite 106
Texarkana, TX 75501
Phone (430) 342-2246

Other names

  • Patricia Maree Hartline Former name

Other providers in Texarkana, TX

All providers in Texarkana, TX · Professional Counselor in Texas

Sources for this page

Verify at the official NPI Registry.