Individual
REBECCA BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP (TEMP)
Contact information
Practice address
408 HIGHWAY 76, WHITE HOUSE, TN 37188-9201
(615) 739-8537
Mailing address
1940 CARVER DR, GREENBRIER, TN 37073-4631
(615) 739-8537
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5159
TN
Other
Enumeration date
04/09/2021
Last updated
10/22/2021
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