Bailey, Julie

Bailey, Julie is an individual health care provider with primary practice located at 2311 S Illinois Ave , Carbondale IL 62903-5912. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Bailey, Julie can be contacted via phone (618) 457-6703.

Contact Information

Primary practice address
2311 S Illinois Ave Carbondale IL 62903-5912
Phone: (618) 457-6703
Fax: (618) 549-3734
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.011819 Illinois
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1952761835
LBN Legal business name Bailey, Julie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2016
Last updated Jul 21st, 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 1952761835 NPPES
Illinois MEDICAID 370916475048

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