Bailey, Justin Tyler

Bailey, Justin Tyler is an individual health care provider with primary practice located at 1902 Harper Rd Ste Abc , Beckley WV 25801-2642. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Bailey, Justin Tyler can be contacted via phone (304) 253-3000.

Contact Information

Primary practice address
1902 Harper Rd Ste Abc Beckley WV 25801-2642
Phone: (304) 253-3000
Fax: (304) 929-2038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1508406612
LBN Legal business name Bailey, Justin Tyler
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2020
Last updated Apr 23rd, 2026 - about 6 months 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 1508406612 NPPES
West Virginia MEDICAID 0005489001

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