Bailey, Iris Lynn

Bailey, Iris Lynn is an sole proprietor health care provider with primary practice located at 4517 Renaissance Pkwy , Warrensville Heights OH 44128-5701. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Bailey, Iris Lynn can be contacted via phone (216) 360-9343.

Contact Information

Primary practice address
4517 Renaissance Pkwy Warrensville Heights OH 44128-5701
Phone: (216) 360-9343
Fax: (216) 360-9345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X E-0500778 Ohio
Behavioral Health & Social Service Providers / Pastoral 101YP1600X E0500778 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X E0500778 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E-0500778 Ohio

Profile Details

NPI number 1073841847
LBN Legal business name Bailey, Iris Lynn
Credentials LPCC-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2009
Last updated Apr 12th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073841847 NPPES
Ohio MEDICAID 0055659

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