Provider Demographics
NPI:1548719453
Name:BAKER, SONYA (LMHC, NCC, CSAC)
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:
Last Name:BAKER
Suffix:
Gender:F
Credentials:LMHC, NCC, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 NUUANU AVE
Mailing Address - Street 2:#3105
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-4021
Mailing Address - Country:US
Mailing Address - Phone:808-721-8758
Mailing Address - Fax:
Practice Address - Street 1:3624 WAOKANAKA ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-5298
Practice Address - Country:US
Practice Address - Phone:808-595-5817
Practice Address - Fax:808-595-8250
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-03
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
HI661101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst