Tina Marie Baeten in Green Bay - Addiction (substance Use Disorder)
Tina Marie Baeten - NPI 1386793248
Tina Marie Baeten is a Addiction (substance Use Disorder) in Green Bay, Wisconsin. Tina Marie Baeten practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Tina Marie Baeten is 1386793248. The last update date is 2022-12-06.
Tina Marie Baeten's current location address is 2920 S Webster Ave Ste B, Green Bay, Wisconsin. You can contact this provider via phone number 9206324471 and fax number 9206324315. The mailing address for Tina Marie Baeten is 2920 S Webster Ave Ste B, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tina Marie Baeten |
|---|---|
| Address | 2920 S Webster Ave Ste B, Green Bay, Wisconsin |
| Phone Number | 9206324471 |
| Fax Number | 9206324315 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1386793248 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2022-12-06 |
Provider Mailing Address Detail
| Address | 2920 S Webster Ave Ste B |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543011594 |
| Phone Number | 9206324471 |
| Fax Number | 9206324315 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 13791 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39382000 | WI | -- |
Post Comment/ Review Below
What is the Tina Marie Baeten's 1386793248?
The Tina Marie Baeten's NPI (National Provider Identifier) Number is 1386793248. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Tina Marie Baeten?
The Tina Marie Baeten is situated at 2920 S Webster Ave Ste B, in the city of Green Bay, state of WI, with the zip code 543011594.
What is the area of specialization for Tina Marie Baeten, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tina Marie Baeten is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.
On what date was the 1386793248 assigned to Tina Marie Baeten?
The Tina Marie Baeten was issued its 1386793248 on 2007-01-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Tina Marie Baeten most recently updated or refreshed?
The details pertaining to the Tina Marie Baeten, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-12-06.