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NPI Code Detail

MEDICARE: BAEDER COUNSELING SERVICES, INC.

MEDICARE: BAEDER COUNSELING SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1205632437
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAEDER COUNSELING SERVICES, INC.
Provider Business Mailing Address
First Line : 101 HARRISON AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32401-2725
Country : US
Telephone Number : 850-381-2963
Fax Number :
Provider Business Practice Location Address
First Line : 101 HARRISON AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32401-2725
Country : US
Telephone Number : 850-381-2963
Fax Number :
Authorized Official
Title or Position : SECRETARY
Name : MORGAN BAEDER
Credential : LCSW
Telephone Number : 850-381-2963
Provider Enumeration Date : 02/19/2025
Last Update Date : 02/19/2025

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Directions to “BAEDER COUNSELING SERVICES, INC. ” Practice Location

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