Provider Demographics
NPI:1124257258
Name:BAKER, RHONDA D (MA LMFT)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:D
Last Name:BAKER
Suffix:
Gender:F
Credentials:MA LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1862 AUBURN RD STE 118S
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-1618
Mailing Address - Country:US
Mailing Address - Phone:404-913-3222
Mailing Address - Fax:
Practice Address - Street 1:1862 AUBURN RD STE 118S
Practice Address - Street 2:
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019-1618
Practice Address - Country:US
Practice Address - Phone:404-913-3222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-10
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2629106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist