NPI 1629463757 · live from the CMS NPI Registry
Lidija Baker, MFT
Marriage & Family Therapist in Henderson, NV. National Provider Identifier 1629463757, active.
NPI record
| NPI | 1629463757 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 2649 W Horizon Ridge Pkwy Ste 130, Henderson, NV 89052 |
| Practice phone | 702-380-3290 |
| Enumerated | April 6, 2015 |
| Last updated | December 16, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 0726 (NV) |
| Counselor, Mental Health | 101YM0800X | 0726 (NV) |
| Counselor, Pastoral | 101YP1600X | 0726 (NV) |
| Marriage & Family Therapist primary | 106H00000X | 0726 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.