Organization
BAILEY'S INNOVATION GROUP
Active
Other names
Mind Over Matters Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
SHERISSE BAILEY LPCS,LCAS (OWNER)
(919) 438-4060
Entity
Organization
Contact information
Practice address
4030 WAKE FOREST RD STE 300, RALEIGH, NC 27609-6800
(919) 438-4060
Mailing address
4030 WAKE FOREST RD STE 300, RALEIGH, NC 27609-6800
(919) 438-4060
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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