Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ebony Star Baker-Moore, EDD, LPC, MFT

Individual provider Professional Counselor · NPI 1467897728

Ebony Star Baker-Moore, EDD, LPC, MFT is a Mental Health Counselor in Douglasville, Georgia. Qualified in 2006, 20 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
20
Licensed in
GA
In the registry since
2013
Specialties on file
2
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
MFT — Marriage and Family Therapist
A therapist who treats couples and families.

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Practice location Address checks out

316 Alexander St Ste 2
Douglasville, GA 30134-7205
Phone: (404) 597-9910
Fax: (888) 908-7984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC007289 (GA)
Mental Health Counselor Taxonomy 101YM0800X · Licence LPC007289 (GA)

Record details

NPI number1467897728
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDD , LPC , MFT
Sole proprietorYes
NPI enumeratedMay 1, 2013
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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