Bailey, Kelly

Bailey, Kelly is an individual health care provider with primary practice located at 156 Brenda Dr , Jacksonville NC 28546-5851. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bailey, Kelly can be contacted via phone (608) 295-4539.

Contact Information

Primary practice address
156 Brenda Dr Jacksonville NC 28546-5851
Phone: (608) 295-4539
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 130921 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.022732 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X CO13652 North Carolina

Profile Details

NPI number 1538792387
LBN Legal business name Bailey, Kelly
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2020
Last updated Apr 5th, 2021 - about 5 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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