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NPI Code Detail

MEDICARE: HANNAH ELISE BAITY MA, LCPC

MEDICARE: HANNAH ELISE BAITY MA, LCPC
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
1101YM0800XMental Health Counselor178016091IL
2101YP2500XProfessional Counselor180.014196IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740889484
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH ELISE BAITY MA, LCPC
Provider Business Mailing Address
First Line : PO BOX 155
Second Line :
City : CHRISTOPHER
State : IL
Zip : 62822-0155
Country : US
Telephone Number : 618-724-2401
Fax Number : 618-724-4628
Provider Business Practice Location Address
First Line : 165 KINNAMAN DR
Second Line :
City : FLORA
State : IL
Zip : 62839-4204
Country : US
Telephone Number : 618-662-8386
Fax Number : 618-662-4338
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2020
Last Update Date : 01/23/2026

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