Healthcare Provider Details

I. General information

NPI: 1952252017
Provider Name (Legal Business Name): BAY INTEGRATIVE THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 BROADKILL RD # 390
MILTON DE
19968-1008
US

IV. Provider business mailing address

124 BROADKILL RD # 390
MILTON DE
19968-1008
US

V. Phone/Fax

Practice location:
  • Phone: 302-216-9597
  • Fax:
Mailing address:
  • Phone: 302-216-9597
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KRISTIN BAYNARD
Title or Position: THERAPIST
Credential: LPCMH
Phone: 302-632-3506