Healthcare Provider Details

I. General information

NPI: 1891601126
Provider Name (Legal Business Name): BAILEY NEIGHBOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

7540 RAMBLE WAY STE 109
RALEIGH NC
27616-4318
US

IV. Provider business mailing address

540 COASTAL CRES APT 208
WAKE FOREST NC
27587-3117
US

V. Phone/Fax

Practice location:
  • Phone: 919-457-1200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number21124A
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: