Healthcare Provider Details

I. General information

NPI: 1477992766
Provider Name (Legal Business Name): TIFFANY BAILEY LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TIFFANY BAILEY LPCC-S

II. Dates (important events)

Enumeration Date: 06/19/2013
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 PUBLIC SQ
COLUMBIA KY
42728-1458
US

IV. Provider business mailing address

PO BOX 1061
COLUMBIA KY
42728-6061
US

V. Phone/Fax

Practice location:
  • Phone: 270-634-0841
  • Fax:
Mailing address:
  • Phone: 270-634-9346
  • Fax: 270-751-0020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.1600041
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCPCC00218310
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: