| Bailey Behavioral Health Llc | |
|
702 N Main St Suite F Harrison AR 72601-2900 | |
| (870) 204-6980 | |
| (870) 204-6981 |
| Full Name | Bailey Behavioral Health Llc |
|---|---|
| Speciality | Social Worker |
| Location | 702 N Main St, Harrison, Arkansas |
| Authorized Official Name and Position | David W Bailey (OWNER) |
| Authorized Official Contact | 8702046980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bailey Behavioral Health Llc 702 N Main St Suite F Harrison AR 72601-2900 Ph: (870) 204-6980 | Bailey Behavioral Health Llc 702 N Main St Suite F Harrison AR 72601-2900 Ph: (870) 204-6980 |
| NPI Number | 1689989147 |
|---|---|
| Provider Enumeration Date | 08/09/2010 |
| Last Update Date | 03/25/2015 |
| Medicare PECOS PAC ID | 6901093855 |
|---|---|
| Medicare Enrollment ID | O20101206000224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689989147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2407-C (Arkansas) | Primary |
| Provider Name | David W Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932138492 PECOS PAC ID: 9335336288 Enrollment ID: I20101206000303 |
| Provider Name | Paula A Stapleton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720029523 PECOS PAC ID: 3870800147 Enrollment ID: I20150918001012 |
| Provider Name | Cole Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710276514 PECOS PAC ID: 2264738475 Enrollment ID: I20160315001699 |
| Provider Name | Angela M Pereira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730599275 PECOS PAC ID: 2365350212 Enrollment ID: I20170530002014 |
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