Basic Information
Provider Information
NPI: 1194899294
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BAUDYS
FirstName: HANA
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: LMSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6195 MILLER RD.
Address2: STE A
City: SWARTZ CREEK
State: MI
PostalCode: 48473
CountryCode: US
TelephoneNumber: 8106301152
FaxNumber: 8106309107
Practice Location
Address1: 6195 MILLER RD.
Address2: STE A
City: SWARTZ CREEK
State: MI
PostalCode: 48473
CountryCode: US
TelephoneNumber: 8106301152
FaxNumber: 8106309107
Other Information
ProviderEnumerationDate: 11/20/2006
LastUpdateDate: 08/24/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
104100000X6801058579MIY Behavioral Health & Social Service ProvidersSocial Worker 

No ID Information.


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