MEDICARE: FRANCES BAILEY L.M.H.C.

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	101YM0800X	Mental Health Counselor	005812	NY

General Provider Information

NPI Number	:	1821428830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCES BAILEY L.M.H.C.

Provider Business Mailing Address
First Line	:	815 JEFFERSON ST
Second Line	:
City	:	BALDWIN
State	:	NY
Zip	:	11510-4630
Country	:	US
Telephone Number	:	516-661-8614
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 E 23RD ST STE 500
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10010-4581
Country	:	US
Telephone Number	:	516-661-8614
Fax Number	:

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

Provider Enumeration Date	:	11/13/2013
Last Update Date	:	11/13/2018

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