Healthcare Provider Details

I. General information

NPI: 1205753928
Provider Name (Legal Business Name): JAMIE ENCHINTON BAILEY LPC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 HUECO AVE
EL PASO TX
79903-4312
US

IV. Provider business mailing address

1105 E ROBINSON AVE
EL PASO TX
79902-2212
US

V. Phone/Fax

Practice location:
  • Phone: 915-465-1191
  • Fax: 915-440-2919
Mailing address:
  • Phone: 915-234-9442
  • Fax: 915-440-2919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number101146
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: