Bailey, Leisa Ann
Bailey, Leisa Ann is an individual health care provider with primary practice located at 600 Kennesaw Ave Nw Suite 300, Marietta GA 30060-6988. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bailey, Leisa Ann can be contacted via phone (770) 428-6698.Contact Information
Primary practice address
600 Kennesaw Ave Nw Suite 300
Marietta GA 30060-6988
Phone: (770) 428-6698
Fax: (770) 428-7475
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 999 | Georgia |
Profile Details
| NPI number | 1376695288 |
|---|---|
| LBN Legal business name | Bailey, Leisa Ann |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Aug 16th, 2007 - about 17 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 | 1376695288 | NPPES |
| Georgia | Other | 000819 | VALUE OPTIONS |
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