MEDICARE: CARIDAD BAEZ LPC

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
1	101YP2500X	Professional Counselor	2025021096	MO

General Provider Information

NPI Number	:	1508753104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARIDAD BAEZ LPC

Provider Business Mailing Address
First Line	:	6746 ETZEL AVE
Second Line	:
City	:	UNIVERSITY CITY
State	:	MO
Zip	:	63130-2427
Country	:	US
Telephone Number	:	314-881-8635
Fax Number	:

Provider Business Practice Location Address
First Line	:	6746 ETZEL AVE
Second Line	:
City	:	UNIVERSITY CITY
State	:	MO
Zip	:	63130-2427
Country	:	US
Telephone Number	:	314-881-8635
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2025
Last Update Date	:	06/18/2025

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Directions to “ CARIDAD BAEZ LPC” Practice Location

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