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NPI Code Detail

MEDICARE: MS. EMILY ELIZABETH BAILEY LPC

MEDICARE:  MS. EMILY ELIZABETH BAILEY  LPC
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
1101Y00000XCounselor6385LA

General Provider Information

NPI Number : 1255464566
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. EMILY ELIZABETH BAILEY LPC
Provider Business Mailing Address
First Line : 342 BURROW LN
Second Line :
City : COTTON VALLEY
State : LA
Zip : 71018-2932
Country : US
Telephone Number : 183-510-4784
Fax Number :
Provider Business Practice Location Address
First Line : 7505 PINES RD STE 1115
Second Line :
City : SHREVEPORT
State : LA
Zip : 71129-3900
Country : US
Telephone Number : 318-683-4086
Fax Number : 318-623-4087
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 12/21/2020

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Directions to “ MS. EMILY ELIZABETH BAILEY LPC” Practice Location

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