| Bailey's Innovation Group | |
|
4030 Wake Forest Rd Ste 300 Raleigh NC 27609-6800 | |
| (919) 438-4060 | |
| Not Available |
| Full Name | Bailey's Innovation Group |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4030 Wake Forest Rd Ste 300, Raleigh, North Carolina |
| Authorized Official Name and Position | Sherisse Bailey (OWNER) |
| Authorized Official Contact | 9194384060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bailey's Innovation Group 4030 Wake Forest Rd Ste 300 Raleigh NC 27609-6800 Ph: (919) 438-4060 | Bailey's Innovation Group 4030 Wake Forest Rd Ste 300 Raleigh NC 27609-6800 Ph: (919) 438-4060 |
| NPI Number | 1609347368 |
|---|---|
| Provider Enumeration Date | 12/06/2018 |
| Last Update Date | 12/06/2018 |
| Medicare PECOS PAC ID | 5092257501 |
|---|---|
| Medicare Enrollment ID | O20240611003539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609347368 | NPI | - | NPPES |
| Provider Name | Sherisse Kelly Bailey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083943054 PECOS PAC ID: 8022371608 Enrollment ID: I20240611003627 |
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