Provider Demographics
NPI:1730220740
Name:BAUMBACH, ANA CATHARINA (LPC)
Entity type:Individual
Prefix:MRS
First Name:ANA
Middle Name:CATHARINA
Last Name:BAUMBACH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:CATHY
Other - Middle Name:
Other - Last Name:BAUMBACH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:2405 DEER HORN DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-4713
Mailing Address - Country:US
Mailing Address - Phone:972-896-6123
Mailing Address - Fax:214-224-0107
Practice Address - Street 1:202 N ALLEN DR
Practice Address - Street 2:SUITE E
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-2547
Practice Address - Country:US
Practice Address - Phone:972-896-6123
Practice Address - Fax:214-224-0107
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLPC 14560101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional