Healthcare Provider Details

I. General information

NPI: 1669839197
Provider Name (Legal Business Name): SARAH BAKER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2016
Last Update Date: 11/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 ABERDEEN WAY
HOWELL MI
48843-2003
US

IV. Provider business mailing address

515 ABERDEEN WAY
HOWELL MI
48843-2003
US

V. Phone/Fax

Practice location:
  • Phone: 734-718-6994
  • Fax:
Mailing address:
  • Phone: 734-718-6994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License NumberIF0000000197778
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401011773
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: