MEDICARE: ANNA BELLE BAKER L.P.C.

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	101YP2500X	Professional Counselor	19668	TX

General Provider Information

NPI Number	:	1811106339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA BELLE BAKER L.P.C.

Provider Business Mailing Address
First Line	:	32 STILLFOREST ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-7518
Country	:	US
Telephone Number	:	713-789-0421
Fax Number	:	713-789-5036

Provider Business Practice Location Address
First Line	:	2323 S VOSS RD
Second Line	:	SUITE 420
City	:	HOUSTON
State	:	TX
Zip	:	77057-3814
Country	:	US
Telephone Number	:	713-782-3699
Fax Number	:	713-789-5036

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	07/08/2007

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