Organization
AMPLIFY PLUS THERAPY & COACHING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES W BAILEY PHD, LCSWS (OWNER)
(346) 341-7971
Entity
Organization
Contact information
Practice address
2706 LAKE VILLA DR, MISSOURI CITY, TX 77459-7650
(281) 782-1641
(281) 969-7259
Mailing address
4220 CARTWRIGHT RD STE 105, MISSOURI CITY, TX 77459-5307
(346) 341-7971
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14238488
CAQH
—
01
—
60118
TEXAS STATE BOARD OF SOCIAL WORKER EXAMINERS
TX
Enumeration date
06/07/2021
Last updated
02/03/2023
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