MEDICARE: BAUMMIER HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH15189	FL

General Provider Information

NPI Number	:	1306350475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAUMMIER HEALTH LLC

Provider Business Mailing Address
First Line	:	818 US HIGHWAY 1 STE 5
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-3857
Country	:	US
Telephone Number	:	561-254-6589
Fax Number	:

Provider Business Practice Location Address
First Line	:	818 US HIGHWAY 1 STE 5
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-3857
Country	:	US
Telephone Number	:	561-254-6589
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARY BAUMMIER
Credential	:	LMHC
Telephone Number	:	561-254-6589

Provider Enumeration Date	:	11/27/2017
Last Update Date	:	03/17/2018

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