Healthcare Provider Details

I. General information

NPI: 1184540312
Provider Name (Legal Business Name): BAILEY'S WELLNESS AND MENTAL HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3306 OLD STERLINGTON RD STE C
MONROE LA
71203-2666
US

IV. Provider business mailing address

3306 OLD STERLINGTON RD STE C
MONROE LA
71203-2666
US

V. Phone/Fax

Practice location:
  • Phone: 318-582-3977
  • Fax: 318-582-3948
Mailing address:
  • Phone: 318-582-3977
  • Fax: 318-582-3948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. CAROLYN BAILEY
Title or Position: OWNER
Credential: APRN
Phone: 318-350-9582