Healthcare Provider Details

I. General information

NPI: 1831352558
Provider Name (Legal Business Name): SHRILEY M BAILEY MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2008
Last Update Date: 11/16/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 TINY TOWN RD
CLARKSVILLE TN
37042-5809
US

IV. Provider business mailing address

800 TINY TOWN ROAD
CLARKSVILLE TN
37042
US

V. Phone/Fax

Practice location:
  • Phone: 931-431-7580
  • Fax: 931-431-7583
Mailing address:
  • Phone: 931-431-7580
  • Fax: 931-431-7583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: