Provider Demographics
NPI:1548968829
Name:BAKER, DEANA (MA, LPC)
Entity type:Individual
Prefix:
First Name:DEANA
Middle Name:
Last Name:BAKER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 GINDORF RD
Mailing Address - Street 2:
Mailing Address - City:BELLVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77418-7085
Mailing Address - Country:US
Mailing Address - Phone:832-596-6563
Mailing Address - Fax:
Practice Address - Street 1:414 S UNIVERSITY PARKS DR UNIT 1317
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76706-1090
Practice Address - Country:US
Practice Address - Phone:979-270-2656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-16
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90629101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX90629OtherLICENSED PROFESSIONAL COUNSELOR