Baucom, Carla Andrea

Baucom, Carla Andrea is an sole proprietor health care provider with primary practice located at 3450 W Central Ave Ste 366E , Toledo OH 43606-1416. She recently has 5 registered licenses in different health care specialties including Agencies / Foster Care Agency, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Residential Treatment Facilities / Substance Abuse Treatment, Children, Student, Health Care / Student in an Organized Health Care Education/Training Program, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Baucom, Carla Andrea can be contacted via phone (419) 531-2403.

Contact Information

Primary practice address
3450 W Central Ave Ste 366E Toledo OH 43606-1416
Phone: (419) 531-2403
Fax: (419) 531-2408
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Foster Care Agency 253J00000X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1376191486
LBN Legal business name Baucom, Carla Andrea
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2019
Last updated Sep 1st, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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