Organization
BAKER WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER BAKER LICSW (OWNER)
(401) 601-5080
Entity
Organization
Contact information
Practice address
1130 TEN ROD RD STE D307D, NORTH KINGSTOWN, RI 02852-4180
(401) 601-5080
Mailing address
95 MULBERRY DR APT 410, NORTH KINGSTOWN, RI 02852-4592
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700309754
NPI
—
Enumeration date
03/24/2022
Last updated
03/24/2022
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