Bailey Behavioral Health Inc | |
80 12th Street Suite 307 Board Of Trade Building Wheeling WV 26003 | |
(304) 242-6988 | |
(304) 242-6951 |
Full Name | Bailey Behavioral Health Inc |
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Speciality | Counselor |
Location | 80 12th Street, Wheeling, West Virginia |
Authorized Official Name and Position | Patricia M Bailey (PRESIDENT PSYCHOLOGIST) |
Authorized Official Contact | 3042426988 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Bailey Behavioral Health Inc 80 12th Street Suite 307 Board Of Trade Building Wheeling WV 26003 Ph: (304) 242-6988 | Bailey Behavioral Health Inc 80 12th Street Suite 307 Board Of Trade Building Wheeling WV 26003 Ph: (304) 242-6988 |
NPI Number | 1932253895 |
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Provider Enumeration Date | 01/22/2007 |
Last Update Date | 12/06/2013 |
Medicare PECOS PAC ID | 5991726796 |
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Medicare Enrollment ID | O20051208000198 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932253895 | NPI | - | NPPES |
9202160000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 1508 (West Virginia) | Primary |
103TC0700X | Psychologist - Clinical | 802 (West Virginia) | Secondary |
Provider Name | Patricia M Bailey |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1255386314 PECOS PAC ID: 0143241943 Enrollment ID: I20111206000718 |
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