Healthcare Provider Details

I. General information

NPI: 1669448296
Provider Name (Legal Business Name): MELISSA DENISE BAKER LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2216 W MEADOWVIEW RD STE 207
GREENSBORO NC
27407-3401
US

IV. Provider business mailing address

2216 W MEADOWVIEW RD STE 207
GREENSBORO NC
27407-3401
US

V. Phone/Fax

Practice location:
  • Phone: 336-880-8198
  • Fax:
Mailing address:
  • Phone: 336-880-8198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number1275985
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3681
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: