Regina Baker
Individual provider Active NPI Marriage & Family Therapist · Gastonia, NC
NPI 1346587953 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1346587953
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 8003A (NC)
- Practice address
- 1209 E Garrison BLD
Gastonia, NC 28054-0551 - Phone
- (704) 864-6573
- NPI assigned
- Jan 16, 2013
- 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 |
|---|---|---|---|
| 8003A | NC | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist |
106H00000X | |||
| Marriage & Family Therapist | 106H00000X | 4101006569 | ||
| Marriage & Family Therapist | 106H00000X | 8003A | NC | Yes |
Addresses
Primary practice location
1209 E Garrison BLD
Gastonia, NC 28054-0551
Mailing address
2075 W Big Beaver Rd Ste 520
Troy, MI 48084-3442
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346587953 | Other | DONT TAKE |
Other providers in Gastonia, NC
- Ajay Singh Bajwa
- Beverly Baker
- Jodi Anderson Baker
- Marty Allen Baker
- Melanie McPherson Baker
- Stefanie Baker
- Balance Within: Therapy and Wellness PLLC
- Balanced Life & Wellness PLLC
- Balanze Group LLC
- Jessica Rene Baldwin
All providers in Gastonia, NC · Marriage & Family Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.