MEDICARE: BAILEY ADAMS FERREIRA LMFTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MG70061309	WA

General Provider Information

NPI Number	:	1154001147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BAILEY ADAMS FERREIRA LMFTA

Provider Business Mailing Address
First Line	:	1237 W MAIN ST
Second Line	:
City	:	MONROE
State	:	WA
Zip	:	98272-2028
Country	:	US
Telephone Number	:	626-634-2484
Fax Number	:

Provider Business Practice Location Address
First Line	:	1237 W MAIN ST
Second Line	:
City	:	MONROE
State	:	WA
Zip	:	98272-2028
Country	:	US
Telephone Number	:	626-634-2484
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2023
Last Update Date	:	03/19/2026

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