Baker-White, Ebony Star

Baker-White, 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 / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Baker-White, 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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC007289 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC007289 Georgia

Profile Details

NPI number 1467897728
LBN Legal business name Baker-White, Ebony Star
Credentials MA,LPC,CAMS
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2013
Last updated Sep 21st, 2021 - about 5 years 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.

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