Healthcare Provider Details

I. General information

NPI: 1336919943
Provider Name (Legal Business Name): BAILEY C SWINFORD-CARMICHAEL LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2024
Last Update Date: 01/04/2024
Certification Date: 01/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

431 OHIO PIKE STE 312
CINCINNATI OH
45255-3629
US

IV. Provider business mailing address

5560 STRIKE THE GOLD DR
BURLINGTON KY
41005-9183
US

V. Phone/Fax

Practice location:
  • Phone: 513-770-1705
  • Fax:
Mailing address:
  • Phone: 859-815-9983
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC.2305688
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: