Provider Demographics
NPI:1194138537
Name:BAILEY, ALISON (LMFT)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:BAILEY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9709 CYPRESS LAKE DR
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:TX
Mailing Address - Zip Code:76036-1159
Mailing Address - Country:US
Mailing Address - Phone:760-576-6963
Mailing Address - Fax:817-612-3371
Practice Address - Street 1:6628 BRYANT IRVIN RD STE 115
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-4216
Practice Address - Country:US
Practice Address - Phone:817-968-1905
Practice Address - Fax:817-612-3371
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-03
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202423106H00000X
CA80124106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist