Provider Demographics
NPI:1710878384
Name:BAKER, AMBER N (LCADC)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:N
Last Name:BAKER
Suffix:
Gender:F
Credentials:LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 E 2ND ST STE 401
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-4125
Mailing Address - Country:US
Mailing Address - Phone:270-240-1785
Mailing Address - Fax:270-240-1861
Practice Address - Street 1:121 E 2ND ST STE 401
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-4125
Practice Address - Country:US
Practice Address - Phone:270-240-1785
Practice Address - Fax:270-240-1861
Is Sole Proprietor?:No
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY295255101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor