Kayla Baker
Individual provider Active NPI Professional Counselor · Wynne, AR
NPI 1255006367 · NPPES record last updated Apr 1, 2024
Key facts
- NPI
- 1255006367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- P2403021 (AR)
- Practice address
- 1200 Bridges Ave E
Wynne, AR 72396-2449 - Phone
- (870) 336-1300
- NPI assigned
- Aug 11, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| P2403021 | AR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Baptist Children'S Homes and Family Ministries | Mental Health | Current |
Accepting new patients |
Locations
3707 Harrisburg Rd
Jonesboro, AR 72404
Phone (870) 336-1300
56 McClellan Dr
Walnut Ridge, AR 72476
Phone (870) 759-4196
1200 Bridges Ave E
Wynne, AR 72396
Phone (870) 336-1300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A2107014 | ||
| Professional Counselor | 101YP2500X | P2403021 | AR | Yes |
Addresses
Primary practice location
1200 Bridges Ave E
Wynne, AR 72396-2449
Mailing address
2707 Browns LN
Jonesboro, AR 72401-7213
Phone (870) 972-4050
Other providers in Wynne, AR
- Arcare
- Arkansas Ready Rides Non-Emergency Transportation Service
- Brina Bailey
- Jeremy Bailey
- Jeremy Baker
- Mandi Machelle Ball
- Avante Banks
- Laura Beth Bassham
- Robert Walton Bassham
- Tiffany Beasley
All providers in Wynne, AR · Professional Counselor in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2024. 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.