| Bailey Behavioral Health, Llc | |
|
34 W Grand Ave Ste 101 Fox Lake IL 60020-1224 | |
| (847) 322-2975 | |
| Not Available |
| Full Name | Bailey Behavioral Health, Llc |
|---|---|
| Speciality | Counselor |
| Location | 34 W Grand Ave Ste 101, Fox Lake, Illinois |
| Authorized Official Name and Position | Diane M Bailey Yoder (OWNER, PROVIDER) |
| Authorized Official Contact | 8473222975 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bailey Behavioral Health, Llc 25663 W Brooks Farm Rd Round Lake IL 60073-5250 Ph: (847) 322-2975 | Bailey Behavioral Health, Llc 34 W Grand Ave Ste 101 Fox Lake IL 60020-1224 Ph: (847) 322-2975 |
| NPI Number | 1790258408 |
|---|---|
| Provider Enumeration Date | 01/04/2019 |
| Last Update Date | 01/04/2019 |
| Medicare PECOS PAC ID | 0547681058 |
|---|---|
| Medicare Enrollment ID | O20200608002967 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790258408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Diane M Bailey Yoder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063833796 PECOS PAC ID: 7911253836 Enrollment ID: I20240221003285 |
| Provider Name | Elzbieta Wojnarowska |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134696602 PECOS PAC ID: 0941748776 Enrollment ID: I20240812002719 |
| Provider Name | Lauren Scaglione |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881393882 PECOS PAC ID: 8022558428 Enrollment ID: I20240912001104 |
| Provider Name | Nancy D Bourke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992330278 PECOS PAC ID: 5698215804 Enrollment ID: I20240913001482 |
| Provider Name | Taylor Rose Kaether |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235722307 PECOS PAC ID: 6305386723 Enrollment ID: I20240919000949 |
| Provider Name | Tracy Marie Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447615729 PECOS PAC ID: 0244761708 Enrollment ID: I20241118002483 |
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