Bailey, Gary Bernard

Bailey, Gary Bernard is an sole proprietor health care provider with primary practice located at 291 N Graham Hopedale Rd , Burlington NC 27217-2971. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Bailey, Gary Bernard can be contacted via phone (336) 228-0793.

Contact Information

Primary practice address
291 N Graham Hopedale Rd Burlington NC 27217-2971
Phone: (336) 228-0793
Fax: (877) 227-0793
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 129 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904 002803 Virginia
Behavioral Health & Social Service Providers / Health Service 103TH0100X 38595 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X C000300 North Carolina

Profile Details

NPI number 1720031016
LBN Legal business name Bailey, Gary Bernard
Credentials MA, MSW, PH.D., LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2006
Last updated Mar 17th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720031016 NPPES
North Carolina MEDICAID 6002358

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