Provider Demographics
NPI:1194748855
Name:BAILEY, BARBARA (LPA)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:BAILEY
Suffix:
Gender:F
Credentials:LPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 NORTHVIEW ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-1119
Mailing Address - Country:US
Mailing Address - Phone:828-450-4100
Mailing Address - Fax:828-645-0138
Practice Address - Street 1:303 STONE RIDGE BLVD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-8313
Practice Address - Country:US
Practice Address - Phone:828-450-4100
Practice Address - Fax:828-645-0138
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1610103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC36314OtherWESTERN HIGHLANDS NETWORK LOCAL MANAGEMENT ENTITY
NC6107046Medicaid
NC02250OtherWESTERN HIGHLANDS NETWORK LOCAL MANAGEMENT ENTITY
NC046FAOtherBCBSNC