Healthcare Provider Details

I. General information

NPI: 1811807944
Provider Name (Legal Business Name): BRITNEY ELAINE BAKER LADAC II
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

446 METROPLEX DR STE 200A
NASHVILLE TN
37211-3139
US

IV. Provider business mailing address

1720 LAKEPOINTE DR
LEWISVILLE TX
75057-6458
US

V. Phone/Fax

Practice location:
  • Phone: 615-205-3577
  • Fax:
Mailing address:
  • Phone: 469-246-2412
  • Fax: 214-853-9018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1426
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: