Organization
BAILEY HOUSE OF WELLNESS, LLC
Active
Other names
BHOW
Organization subpart
No
Provider details
NPI number
Authorized official
IESHAI T. BAILEY-DAVIS PHD,LMHC,CST (FOUNDER/OWNER/CEO)
(954) 903-7611
Entity
Organization
Contact information
Practice address
1881 NE 26TH ST, SUITE 202A, WILTON MANORS, FL 33305-1416
(954) 903-7611
(954) 204-3291
Mailing address
1881 NE 26TH ST, SUITE 202A, WILTON MANORS, FL 33305-1416
(954) 903-7611
(954) 204-3291
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
IMH12272
FL
Other
Enumeration date
05/21/2016
Last updated
09/06/2016
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