Holly Louise Baker, LPCC-S
Individual provider Active NPI Counselor · Marion, OH
NPI 1194990184 · NPPES record last updated Mar 29, 2017
Key facts
- NPI
- 1194990184
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- E0700865 (OH)
- Practice address
- 320 Executive Dr
Marion, OH 43302-6310 - Phone
- (740) 387-5210
- NPI assigned
- Apr 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0700865 | OH | MD | Counselor |
| C0700865 | OH | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C0700865 | OH | |
| Counselor | 101Y00000X | E0700865 | OH | Yes |
Addresses
Primary practice location
320 Executive Dr
Marion, OH 43302-6310
Mailing address
485 Clover Ave
Marion, OH 43302-5632
Phone (740) 360-4758
Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2017. 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.