Healthcare Provider Details

I. General information

NPI: 1528361870
Provider Name (Legal Business Name): PATRICIA ANN BALDWIN M.S., LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA ANN BAKER

II. Dates (important events)

Enumeration Date: 12/08/2010
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 TROWBRIDGE ST NE APT 208
GRAND RAPIDS MI
49503-1891
US

IV. Provider business mailing address

2222 W GRAND RIVER AVE STE A
OKEMOS MI
48864-1604
US

V. Phone/Fax

Practice location:
  • Phone: 616-209-9295
  • Fax:
Mailing address:
  • Phone: 262-676-4525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401012272
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number6401012272
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: