Bailey, Iris Lynn
Bailey, Iris Lynn is an sole proprietor health care provider with primary practice located at 4517 Renaissance Pkwy , Warrensville Heights OH 44128-5701. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Bailey, Iris Lynn can be contacted via phone (216) 360-9343.Contact Information
Primary practice address
4517 Renaissance Pkwy
Warrensville Heights OH 44128-5701
Phone: (216) 360-9343
Fax: (216) 360-9345
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | E-0500778 | Ohio |
Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | E0500778 | Ohio |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | E0500778 | Ohio |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | E-0500778 | Ohio |
Profile Details
NPI number | 1073841847 |
---|---|
LBN Legal business name | Bailey, Iris Lynn |
Credentials | LPCC-S |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 6th, 2009 |
Last updated | Apr 12th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073841847 | NPPES |
Ohio | MEDICAID | 0055659 |
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