Patient Katabana Baraka, LLMSW - Counselor in Wyoming, MI

Patient Katabana Baraka, LLMSW is a Counselor - Mental Health based in Wyoming, Michigan. Patient Katabana Baraka is licensed to practice in Michigan (license number 6801093577) and his current practice location is 255 Colrain St Sw, Wyoming, Michigan. He can be reached at his office (for appointments etc.) via phone at (616) 988-1479.

NPI number for Patient Katabana Baraka is 1366889313 and his current mailing address is 79 Antoine St Sw, Grand Rapids, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366889313.

Contact Information

Patient Katabana Baraka, LLMSW
255 Colrain St Sw,
Wyoming, MI 49548-1013
(616) 988-1479
(616) 245-0450

Map and Direction


Healthcare Provider's Profile

Full NamePatient Katabana Baraka
GenderMale
SpecialityCounselor - Mental Health
Location255 Colrain St Sw, Wyoming, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1366889313
  • Provider Enumeration Date: 05/31/2013
  • Last Update Date: 05/31/2013

Medical Identifiers

Medical identifiers for Patient Katabana Baraka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366889313NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 6801093577 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Patient Katabana Baraka is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Patient Katabana Baraka, LLMSW
79 Antoine St Sw,
Grand Rapids, MI 49507-1001

Ph: (616) 988-1479
Patient Katabana Baraka, LLMSW
255 Colrain St Sw,
Wyoming, MI 49548-1013

Ph: (616) 988-1479

Reviews and Comments


Counselor in Wyoming, MI

Michaela Dawn Ayew-ew, LPC, CCTP
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Ryan Hanberry,
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Yolanda Ivens, MSMHC
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Practice Location: 1843 R W Berends Dr Sw, Wyoming, MI 49519
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Amy L Keas, LPC
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Medicare: Not Enrolled in Medicare
Practice Location: 1843 Rw Berends Dr Sw, Wyoming, MI 49519
Phone: 616-773-2908    Fax: 616-532-3046
Andrea Elizabeth Nagurski, LLPC
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Medicare: Not Enrolled in Medicare
Practice Location: 1751 Havana Ave Sw, Wyoming, MI 49509
Phone: 616-238-1422    
Eva Renee Sypniewski, LLMSW
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Medicare: Not Enrolled in Medicare
Practice Location: 2663 44th St Sw, Wyoming, MI 49519
Phone: 517-367-0670    

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