Bailly, Deborah J

Bailly, Deborah J is an individual health care provider with primary practice located at 253-255 Hammond St. , Bangor ME 04401. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Bailly, Deborah J can be contacted via phone (207) 941-1612.

Contact Information

Primary practice address
253-255 Hammond St. Bangor ME 04401
Phone: (207) 941-1612
Fax: (207) 941-1634
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LC1261 Maine
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CCS3171 Maine
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC5073 Maine

Profile Details

NPI number 1790916898
LBN Legal business name Bailly, Deborah J
Credentials LADC, CCS, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2009
Last updated Aug 6th, 2009 - about 16 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 1790916898 NPPES
Maine MEDICAID 432237599

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