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NPI Code Detail

MEDICARE: MS. AMY ADELE BAYLIS

MEDICARE: MS. AMY ADELE BAYLIS
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
1101Y00000XCounselorCG60718696WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972787976
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMY ADELE BAYLIS
Provider Business Mailing Address
First Line : PO BOX 2394
Second Line :
City : LONGVIEW
State : WA
Zip : 98632-8455
Country : US
Telephone Number : 360-200-5419
Fax Number : 360-200-6736
Provider Business Practice Location Address
First Line : 1126 S GOLD ST
Second Line :
City : CENTRALIA
State : WA
Zip : 98531-3768
Country : US
Telephone Number : 360-807-4929
Fax Number : 360-807-4160
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2007
Last Update Date : 10/04/2021

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Directions to “ MS. AMY ADELE BAYLIS ” Practice Location

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