Healthcare Provider Details

I. General information

NPI: 1134048630
Provider Name (Legal Business Name): BAILEY J. GREY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 SW 29TH ST STE 127
TOPEKA KS
66614-2054
US

IV. Provider business mailing address

3601 SW 29TH ST STE 127
TOPEKA KS
66614-2054
US

V. Phone/Fax

Practice location:
  • Phone: 785-231-8566
  • Fax:
Mailing address:
  • Phone: 785-231-8566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: BAILEY GREY
Title or Position: THERAPIST
Credential: LMSW
Phone: 785-231-8566