Karyl D Baker, LPC

Individual provider Active NPI Professional Counselor · La Fayette, GA

NPI 1962746503 · NPPES record last updated Jul 30, 2019

Key facts

NPI
1962746503
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LPC008913 (GA)
Practice address
501 Mize St
La Fayette, GA 30728-3346
Phone
(706) 638-5580
NPI assigned
Nov 20, 2012
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

State licenses

LicenseStateTypeSpecialty
LPC008913GAMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC008913 GA Yes

Addresses

Primary practice location

501 Mize St
La Fayette, GA 30728-3346

Mailing address

501 Mize St
La Fayette, GA 30728-3346
Phone (706) 638-5580

Other providers in La Fayette, GA

All providers in La Fayette, GA · Professional Counselor in Georgia

Sources for this page

Verify at the official NPI Registry.