Provider Demographics
NPI:1891192217
Name:BAKER, ERICA J (MS COUNSELING)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:J
Last Name:BAKER
Suffix:
Gender:
Credentials:MS COUNSELING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2843 S COUNTRY TRAIL
Mailing Address - Street 2:SUITE 117
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818
Mailing Address - Country:US
Mailing Address - Phone:401-830-2411
Mailing Address - Fax:401-522-6051
Practice Address - Street 1:2843 S COUNTRY TRAIL
Practice Address - Street 2:SUITE 117
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-9998
Practice Address - Country:US
Practice Address - Phone:401-830-2411
Practice Address - Fax:401-522-6051
Is Sole Proprietor?:No
Enumeration Date:2014-12-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
RIMHC00798101YM0800X
MALMHC11712101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health