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NPI Code Detail

MEDICARE: ALICIA KAY BAILEY

MEDICARE: ALICIA KAY BAILEY
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
1101Y00000XCounselorOH

General Provider Information

NPI Number : 1164080172
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA KAY BAILEY
Provider Business Mailing Address
First Line : 115 S REYNOLDS RD STE C
Second Line :
City : TOLEDO
State : OH
Zip : 43615-6958
Country : US
Telephone Number : 419-725-6631
Fax Number :
Provider Business Practice Location Address
First Line : 115 S REYNOLDS RD STE C
Second Line :
City : TOLEDO
State : OH
Zip : 43615-6958
Country : US
Telephone Number : 419-725-6631
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2019
Last Update Date : 05/27/2026

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Directions to “ ALICIA KAY BAILEY ” Practice Location

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