Provider Demographics
NPI:1295872398
Name:BAILEY, TRIXY BALDWIN (NCC, LPC, LCAS)
Entity type:Individual
Prefix:
First Name:TRIXY
Middle Name:BALDWIN
Last Name:BAILEY
Suffix:
Gender:F
Credentials:NCC, LPC, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3962 CANE GARDEN DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-5696
Mailing Address - Country:US
Mailing Address - Phone:919-291-7313
Mailing Address - Fax:919-882-1440
Practice Address - Street 1:4009 BARRETT DR STE 100
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6616
Practice Address - Country:US
Practice Address - Phone:919-848-0132
Practice Address - Fax:919-882-1440
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1409101YA0400X
NC4618101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102584Medicaid