Provider Demographics
NPI:1316070667
Name:BAYNE, STEVEN PAUL (MA, LPC, CAADC)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:PAUL
Last Name:BAYNE
Suffix:
Gender:M
Credentials:MA, LPC, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19855 OUTER DR
Mailing Address - Street 2:SUITE 203-E
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-2022
Mailing Address - Country:US
Mailing Address - Phone:313-590-5219
Mailing Address - Fax:313-995-9140
Practice Address - Street 1:19855 OUTER DR STE 203E
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-2146
Practice Address - Country:US
Practice Address - Phone:313-590-5219
Practice Address - Fax:313-995-9140
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIC-01444101YA0400X
MI6401007707101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)