MEDICARE: LUCY BAILEY COUNSELING LCSW PLLC

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

General Provider Information

NPI Number	:	1851252142
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUCY BAILEY COUNSELING LCSW PLLC

Provider Business Mailing Address
First Line	:	880 CORPORATE DR STE 304
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40503-5400
Country	:	US
Telephone Number	:	859-338-0179
Fax Number	:	859-368-7681

Provider Business Practice Location Address
First Line	:	880 CORPORATE DR STE 304
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40503-5400
Country	:	US
Telephone Number	:	859-338-0179
Fax Number	:	859-368-7681

Authorized Official
Title or Position	:	OWNER
Name	:	LUCY BAILEY
Credential	:	LCSW
Telephone Number	:	859-388-0179

Provider Enumeration Date	:	11/18/2025
Last Update Date	:	11/18/2025

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