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

Mr. Cody Evan Baker, TCADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1821717505

Mr. Cody Evan Baker, TCADC is an Addiction (Substance Use Disorder) Counselor in Lebanon, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2022

Practice location Address checks out

807 Pebblebrook Dr
Lebanon, KY 40033-1848
Phone: (502) 260-2806
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 278074 (KY)

Record details

NPI number1821717505
Entity typeIndividual (Type 1)
GenderMale
Credentials TCADC
Sole proprietorYes
NPI enumeratedAugust 25, 2022
Last updated in NPPESAugust 25, 2022
Certification dateAugust 25, 2022

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