# MOLLIE BAKER THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184501454
- **Authorized official:** MOLLIE BAKER LCSW (OWNER)
- **Authorized official phone:** (267) 619-4973

## Contact information

- **Practice address:** 327 WILBUR CEMETERY RD, WILBUR, OR 97494-0201
- **Practice address phone:** (267) 619-4973
- **Practice address fax:** (800) 433-1396
- **Mailing address:** PO BOX 1787, MEDFORD, OR 97501-0261
- **Mailing address phone:** (541) 500-8655
- **Mailing address fax:** (800) 433-1396

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 08/19/2025
- **Last updated:** 08/19/2025