Dexter Baker
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Union City, GA
NPI 1508569062 · NPPES record last updated Mar 23, 2023
Key facts
- NPI
- 1508569062
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 4405 Mall Blvd
Union City, GA 30291-2044 - Phone
- (770) 892-3200
- NPI assigned
- Mar 23, 2023
- Sex
- Male
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Community Services | Current |
Accepting new patients |
Locations
4405 Mall Blvd
Ste 310
Union City, GA 30291
Phone (770) 365-3140
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
4405 Mall Blvd
Union City, GA 30291-2044
Mailing address
4405 Mall Blvd Ste 310
Union City, GA 30291-2070
Phone (770) 892-3200
Other providers in Union City, GA
- Atlanta Center for Counseling LLC
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- Attentive Private Home Care LLC
- Christabelle Auguste
- Jaslyn Bailey
- Kesha Ballard
- Kenneth Baskett
- Mary S Batson
- Deborah Ann Bean
- Deshawn D Bellamy-Douglas
All providers in Union City, GA · Addiction (Substance Use Disorder) Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2023. 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.