Bailey, Gennie

Bailey, Gennie is an sole proprietor health care provider with primary practice located at 280 N Main St Ste 6 , East Longmeadow MA 01028-1814. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Bailey, Gennie can be contacted via phone (413) 893-4462.

Contact Information

Primary practice address
280 N Main St Ste 6 East Longmeadow MA 01028-1814
Phone: (413) 893-4462
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 003275 Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 10413 Massachusetts

Profile Details

NPI number 1811331309
LBN Legal business name Bailey, Gennie
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2013
Last updated Feb 6th, 2019 - about 6 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 1811331309 NPPES
Massachusetts MEDICAID 1300881

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