Bailey, Holly Marie

Bailey, Holly Marie is an individual health care provider with primary practice located at 950 County Road 17A W , Avon Park FL 33825-2164. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bailey, Holly Marie can be contacted via phone (863) 519-0575.

Contact Information

Primary practice address
950 County Road 17A W Avon Park FL 33825-2164
Phone: (863) 519-0575
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW 10067 Florida

Profile Details

NPI number 1154702348
LBN Legal business name Bailey, Holly Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2015
Last updated Sep 14th, 2020 - about 5 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 1154702348 NPPES
Florida MEDICAID 102728600

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