Provider Demographics
NPI:1871219626
Name:HEUSER, BAILEY ANNE (LPC)
Entity type:Individual
Prefix:
First Name:BAILEY
Middle Name:ANNE
Last Name:HEUSER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:BAILEY
Other - Middle Name:
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:60 PENNINGTON DR
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-6037
Mailing Address - Country:US
Mailing Address - Phone:843-920-3605
Mailing Address - Fax:
Practice Address - Street 1:60 PENNINGTON DR
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-6037
Practice Address - Country:US
Practice Address - Phone:843-920-3605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-13
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7447101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health