Baker, Shukairo Mack
Baker, Shukairo Mack is an individual health care provider with primary practice located at 455 Lakeshore Pkwy , Rock Hill SC 29730-4205. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Baker, Shukairo Mack can be contacted via phone (803) 909-6363.Contact Information
Primary practice address
455 Lakeshore Pkwy
Rock Hill SC 29730-4205
Phone: (803) 909-6363
Fax: (803) 909-6390
Website:
Health care specialties
Profile Details
| NPI number | 1659666444 |
|---|---|
| LBN Legal business name | Baker, Shukairo Mack |
| Credentials | APRN, PMHNP-BC, LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2011 |
| Last updated | May 5th, 2026 - about 6 months ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659666444 | NPPES |
| South Carolina | Other | Q554550281 | PTAN |
| South Carolina | MEDICAID | 1659666444 | PTAN |
| South Carolina | MEDICAID | SW1253 | PTAN |
Popular Providers
-
Mutuc, Cienna
1626 Cranium Dr Ste 101 , Rock Hill SC 29732-3552 -
Henningham, Tresann Sinnett
502 Cherry Rd Ste 201 , Rock Hill SC 29732-3118 -
Gagne, Kelli P
331 E Main St Ste 200 , Rock Hill SC 29730-5384 -
Ridley, Pamela J
2400 W Main St , Rock Hill SC 29732-8968 -
Vincent, Nicole
455 Lakeshore Pkwy , Rock Hill SC 29730-4205 -
Merli, Rebecca Lanier
1721 Ebenezer Rd Ste 225 , Rock Hill SC 29732-1119 -
Mitchell, April
527 Tarrington Dr , Rock Hill SC 29730-5675 -
Jones, Patricia Kirkley
455 Lakeshore Parkway , Rock Hill SC 29730-4205