DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EBONY STAR BAKER-MOORE, EDD,LPC,MFT

Active Sole Proprietor

EBONY STAR BAKER-MOORE, EDD,LPC,MFT is a Professional Counselor healthcare provider located in DOUGLASVILLE, Georgia. NPI 1467897728 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · DOUGLASVILLE, GA

Registration Details

NPI Number
1467897728
Provider Type
Individual
Gender
Female
NPI Issued
May 1, 2013 (13.265222241432 yrs)
Last Updated
Dec 18, 2025
Licenses
LPC007289 (GA)
LPC007289 (GA)
Sole Proprietor
Yes

Practice Information

Address
316 ALEXANDER STREET
SUITE 2
DOUGLASVILLE, GA, 301347205
Browse GA providers · Browse ZIP 30134
Phone
4045979910
Fax
8889087984
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Mental Health Counselor

Other Professional Counselor Providers in DOUGLASVILLE, GA

Name Credential NPI
MRS. NAOMI S FIELDS M.ED 1043250830
DR. NINA WHITE PHD, LPC, LMHC, NCC 1104845965
MRS. MARTHA KITCHENS M.A. 1881796597
MRS. AREFEH PARTOVI LANGKILDE LPC EDS 1265511109
MS. GABRIELLA GOMEZ M.S., L.P.C. 1558434969
MR. LYLE KEITH COALWELL LPC 1922165869
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.