| Doctor Name: | ANTHONY BAKEWELL |
| NPI Number: | 1720447238 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 190 Hickory Ave Suite 4 Harahan, LA - 701234068 |
| Business Phone Number: | 5042874160 |
| Business Fax Number: | 5043050454 |
| Mailing Address: | 190 Hickory Ave, Suite 4 HARAHAN |
| State: | LA |
| Postal Code: | 701234068 |
| Phone Number: | 5042874160 |
| Fax Number: | 5043050454 |
| NPI Enumeration Date: | 02/12/2016 |
| NPI Last Update Date: | 02/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |