Healthcare Provider Details

I. General information

NPI: 1356210231
Provider Name (Legal Business Name): THE BAKER CENTER BEHAVIORAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2025
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 NOBLE ST
SMITHFIELD NC
27577-9300
US

IV. Provider business mailing address

514 DANIELS ST # 196
RALEIGH NC
27605-1317
US

V. Phone/Fax

Practice location:
  • Phone: 919-971-7401
  • Fax:
Mailing address:
  • Phone: 919-345-8371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CONSTANCE LORICE MARTIN
Title or Position: OWNER
Credential:
Phone: 919-345-8371