Baylor, Tasha Lynette

Baylor, Tasha Lynette is an individual health care provider with primary practice located at 86 S Seaway Dr , Norton Shores MI 49444-3841. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Baylor, Tasha Lynette can be contacted via phone (231) 343-2753.

Contact Information

Primary practice address
86 S Seaway Dr Norton Shores MI 49444-3841
Fax: (231) 563-0558
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 6801091957 Michigan

Profile Details

NPI number 1558604884
LBN Legal business name Baylor, Tasha Lynette
Credentials LLMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2013
Last updated Apr 4th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558604884 NPPES
Michigan MEDICAID 1376866160

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