Audrey Baehr, LADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Ansonia, CT
NPI 1194355693 · NPPES record last updated Jan 27, 2020
Key facts
- NPI
- 1194355693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 994 (CT)
- Practice address
- 121 Wakelee Avenue
Acs
Ansonia, CT 06401-1198 - Phone
- (203) 503-3650
- Fax
- (203) 503-3659
- NPI assigned
- Jan 23, 2020
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 994 | CT | Yes |
Addresses
Primary practice location
121 Wakelee Avenue
Acs
Ansonia, CT 06401-1198
Mailing address
12 Primrose Dr
Trumbull, CT 06611-5040
Phone (203) 767-4594
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004235918 | Medicaid | CT |
Other providers in Ansonia, CT
- Ansonia Urgent Care LLC
- Lisa M Artache
- Gabrielle Attolino
- Susan R Babenco
- Bindu Badlani
- Veronica Altagracia Balbuena Hurtado
- Daiana Alves Baptista-Jean
- Behavior Analytic Services of Connecticut, LLC
- Kelly Bennett
- Kimberly Benson
All providers in Ansonia, CT · Addiction (Substance Use Disorder) Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.