Healthcare Provider Details

I. General information

NPI: 1194314930
Provider Name (Legal Business Name): ERICA BAKER & ASSOCIATES COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2021
Last Update Date: 04/16/2024
Certification Date: 04/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 BRIDGE ST STE C
HAMPTON VA
23669-4067
US

IV. Provider business mailing address

100 BRIDGE ST STE C
HAMPTON VA
23669-4067
US

V. Phone/Fax

Practice location:
  • Phone: 757-726-2000
  • Fax: 757-257-6388
Mailing address:
  • Phone: 757-726-2000
  • Fax: 757-257-6388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number State

VIII. Authorized Official

Name: MS. ERICA ELISE BAKER
Title or Position: OWNER, LPC
Credential: LPC
Phone: 757-768-6314