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NPI Code Detail

MEDICARE: BAILEY NEWELL MA, LMFT

MEDICARE: BAILEY NEWELL MA, LMFT
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
1106H00000XMarriage & Family Therapist4153MN

General Provider Information

NPI Number : 1639628597
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAILEY NEWELL MA, LMFT
Provider Business Mailing Address
First Line : 9298 CENTRAL AVE NE STE 310
Second Line :
City : BLAINE
State : MN
Zip : 55434-4219
Country : US
Telephone Number : 651-955-4633
Fax Number : 651-440-9827
Provider Business Practice Location Address
First Line : 1970 OAKCREST AVE STE 200
Second Line :
City : ROSEVILLE
State : MN
Zip : 55113-2624
Country : US
Telephone Number : 651-955-4633
Fax Number : 651-440-9827
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2016
Last Update Date : 06/15/2026

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Directions to “ BAILEY NEWELL MA, LMFT” Practice Location

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