Provider Demographics
NPI:1356972566
Name:BAKER, LAWRENCE VERNON JR (LPC-S)
Entity type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:VERNON
Last Name:BAKER
Suffix:JR
Gender:M
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7007 POTSDAM CT
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-8028
Mailing Address - Country:US
Mailing Address - Phone:334-647-1009
Mailing Address - Fax:888-856-7677
Practice Address - Street 1:7007 POTSDAM CT
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-8028
Practice Address - Country:US
Practice Address - Phone:334-647-1009
Practice Address - Fax:888-856-7677
Is Sole Proprietor?:No
Enumeration Date:2020-01-28
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2411101YA0400X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)