Individual provider · Type 1 NPI

Ebony Star Baker-Moore, EDD, LPC, MFT

Professional Counselor · Douglasville, GA

NPI number 1467897728 Active

Practice location

316 Alexander Street, Suite 2
Douglasville, GA 30134-7205

Call (404) 597-9910 Map

Fax (888) 908-7984

Mailing address

3486 Mckown Rd
Douglasville, GA 30134-2812

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC007289 (GA)
Mental Health Counselor 101YM0800XLPC007289 (GA)

Professional Counselor: Definition to come...

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About NPI 1467897728

Ebony Star Baker-Moore, EDD, LPC, MFT's National Provider Identifier is 1467897728, issued on May 1, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Douglasville, GA. The record was last updated on Dec 18, 2025.