MEDICARE: ANNALUCIA BAYS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1477165926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANNALUCIA BAYS, LLC

Provider Business Mailing Address
First Line	:	1311 JAMESTOWN RD STE 202
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23185-3391
Country	:	US
Telephone Number	:	757-899-4804
Fax Number	:

Provider Business Practice Location Address
First Line	:	1311 JAMESTOWN RD STE 202
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23185-3391
Country	:	US
Telephone Number	:	757-899-4804
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	DR. ANNALUCIA BAYS
Credential	:	PH.D., LCP
Telephone Number	:	757-899-4804

Provider Enumeration Date	:	08/17/2020
Last Update Date	:	04/10/2026

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