Baker-Moore, Ebony Star
Baker-Moore, Ebony Star is an sole proprietor health care provider with primary practice located at 316 Alexander Street Suite 2, Douglasville GA 30134-7205. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Baker-Moore, Ebony Star can be contacted via phone (404) 597-9910.Contact Information
Primary practice address
316 Alexander Street Suite 2
Douglasville GA 30134-7205
Phone: (404) 597-9910
Fax: (888) 908-7984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC007289 | Georgia |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC007289 | Georgia |
Profile Details
| NPI number | 1467897728 |
|---|---|
| LBN Legal business name | Baker-Moore, Ebony Star |
| Credentials | EDD,LPC,MFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2013 |
| Last updated | Dec 18th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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