Provider Demographics
NPI:1386734283
Name:BAIRD, FRANCIS JEWELL JR (PHD LPC-S)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:JEWELL
Last Name:BAIRD
Suffix:JR
Gender:M
Credentials:PHD LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 2ND AVE NO
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39701
Mailing Address - Country:US
Mailing Address - Phone:662-327-7388
Mailing Address - Fax:662-329-1177
Practice Address - Street 1:815 2ND AVE NO
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39701
Practice Address - Country:US
Practice Address - Phone:662-327-7388
Practice Address - Fax:662-329-1177
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS0447101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS0447OtherMS LPC