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NPI Code Detail

MEDICARE: BAILEY, CROSS & DAVIS LLC

MEDICARE: BAILEY, CROSS & DAVIS LLC
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
1101YM0800XMental Health Counselor
2363LP0808XPsychiatric/Mental Health Nurse Practitioner
3101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1497390058
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAILEY, CROSS & DAVIS LLC
Provider Business Mailing Address
First Line : 2670 CRAIN HWY STE 510
Second Line :
City : WALDORF
State : MD
Zip : 20601-2819
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2670 CRAIN HWY STE 510
Second Line :
City : WALDORF
State : MD
Zip : 20601-2819
Country : US
Telephone Number : 301-374-8772
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KECIA WRIGHT
Credential : LCPC
Telephone Number : 240-216-2713
Provider Enumeration Date : 11/07/2019
Last Update Date : 11/07/2019

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Directions to “BAILEY, CROSS & DAVIS LLC ” Practice Location

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