Provider Demographics
NPI:1871678292
Name:BAILEY, CARI MICHELLE (LPC)
Entity type:Individual
Prefix:MRS
First Name:CARI
Middle Name:MICHELLE
Last Name:BAILEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:914 S CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:MS
Mailing Address - Zip Code:38652-3628
Mailing Address - Country:US
Mailing Address - Phone:662-534-6171
Mailing Address - Fax:662-538-0461
Practice Address - Street 1:1105 PEBBLEWOOD DR
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:MS
Practice Address - Zip Code:38652-3622
Practice Address - Country:US
Practice Address - Phone:662-316-7475
Practice Address - Fax:662-538-0461
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MS0871101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional