Provider Demographics
NPI:1164307583
Name:BALDWIN, ANNAGRACE BAKER (LPC, NCC)
Entity type:Individual
Prefix:
First Name:ANNAGRACE
Middle Name:BAKER
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 THORN BERRY LN
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-4161
Mailing Address - Country:US
Mailing Address - Phone:205-807-7278
Mailing Address - Fax:
Practice Address - Street 1:265 RIVERCHASE PKWY E STE 108
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-2815
Practice Address - Country:US
Practice Address - Phone:205-982-3586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2581101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional