Michelle Sue Baker is a Counselor in Peoria, Illinois. Michelle Sue Baker practices all healthcare services and medical treatments related to Counselor. The NPI Number for Michelle Sue Baker is 1063515682. The last update date is 2007-07-08.
Michelle Sue Baker's current location address is 6615 N Big Hollow Rd, Peoria, Illinois. You can contact this provider via phone number 3096926622 and fax number 3096926952. The mailing address for Michelle Sue Baker is 6615 N Big Hollow Rd, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michelle Sue Baker |
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Address | 6615 N Big Hollow Rd, Peoria, Illinois |
Phone Number | 3096926622 |
Fax Number | 3096926952 |
Sole Proprietor | N |
Credentials | LCPC CADC |
NPI Number Detail
NPI Number | 1063515682 |
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Provider Enumeration Date | 2006-09-07 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 6615 N Big Hollow Rd |
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City | Peoria |
State | Illinois (IL) |
Post Code | 616152451 |
Phone Number | 3096926622 |
Fax Number | 3096926952 |
Provider's Primary Taxonomy Detail
Speciality | Counselor |
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Taxonomy | 101Y00000X |
Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the unique 10-digit identification code issued to Michelle Sue Baker by the Centers for Medicare & Medicaid Services?
The Michelle Sue Baker has been assigned the NPI (National Provider Identifier) 1063515682 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Michelle Sue Baker?
The Michelle Sue Baker is physically situated at 6615 N Big Hollow Rd, in the city of Peoria, state of IL, with the postal code 616152451.
What is the Michelle Sue Baker's specialty and taxonomy code?
The Michelle Sue Baker's specialty is Counselor, and the corresponding taxonomy code is 101Y00000X.
On what date was the 1063515682 assigned to Michelle Sue Baker?
The Michelle Sue Baker was issued its 1063515682 on 2006-09-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Michelle Sue Baker most recently updated?
The details pertaining to the Michelle Sue Baker, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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