Individual
LISA L BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
262 MIALAQUO RD, LOUDON, TN 37774-6831
(865) 409-7000
(855) 631-0798
Mailing address
262 MIALAQUO RD, LOUDON, TN 37774-6831
(865) 409-7000
(855) 631-0798
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9189
TN
1041C0700X
Clinical Social Worker
SW17918
FL
Other
Enumeration date
03/16/2020
Last updated
01/02/2026
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