NPI Code Detail JSON Logo

1396407524 NPI number — CANDACE SUE BAILEY LPC

NPI Number: 1396407524
Health Care Provider/Practitioner: CANDACE SUE BAILEY LPC

Information about “1396407524” NPI (CANDACE SUE BAILEY LPC) exists in 1396407524 in HTML format HTML  |  1396407524 in plain Text format TXT  |  1396407524 in PDF (Portable Document Format) PDF  |  1396407524 in an XML format XML  formats.

NPI Number : 1396407524 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396407524",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BAILEY",
    "FirstName": "CANDACE",
    "MiddleName": "SUE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "102 N 26TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MEXICO BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32456-7102",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "334-549-7333",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8219 FRONT BEACH RD STE B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PANAMA CITY BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32407-4822",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "334-203-7277",
    "PracticeLocationAddressFaxNumber": "855-591-0277",
    "EnumerationDate": "10/05/2021",
    "LastUpdateDate": "10/02/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "4514",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "24820",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.