Healthcare Provider Details

I. General information

NPI: 1306477328
Provider Name (Legal Business Name): THE BAILEY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2020
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

564 N MEMORIAL DR
PRATTVILLE AL
36067-2132
US

IV. Provider business mailing address

74186 TALLASSEE HWY STE B
WETUMPKA AL
36092-5644
US

V. Phone/Fax

Practice location:
  • Phone: 334-491-0066
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: KELSIE ULRICH
Title or Position: CO-OWNER
Credential: M.A., CCC-SLP
Phone: 334-478-3570