Healthcare Provider Details

I. General information

NPI: 1346848678
Provider Name (Legal Business Name): RACHAEL LEIGH BAILEY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2020
Last Update Date: 05/29/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3205 KIRBY WHITTEN RD # 203D
BARTLETT TN
38134-2853
US

IV. Provider business mailing address

3205 KIRBY WHITTEN RD # 203D
MEMPHIS TN
38134-2853
US

V. Phone/Fax

Practice location:
  • Phone: 901-650-1279
  • Fax: 574-635-9228
Mailing address:
  • Phone: 901-650-1279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number8475
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: