Organization
KELLEY BAILEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY R BAILEY (LICENSED PROFESSIONAL COUNSELOR)
(405) 474-1813
Entity
Organization
Contact information
Practice address
320 N BROADWAY STE 112, EDMOND, OK 73034-3642
(405) 474-1813
Mailing address
3325 FRENCH PARK DR, SUITE 9, EDMOND, OK 73034-7277
(405) 474-1813
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6232
OK
101YM0800X
Mental Health Counselor
6232
OK
101YP2500X
Professional Counselor
6232
OK
106H00000X
Marriage & Family Therapist
6232
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200538400A
—
OK
Enumeration date
03/02/2017
Last updated
02/10/2025
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