Provider Demographics
NPI:1346026150
Name:BAILEY, TRINELL ROXANN (LPCT)
Entity type:Individual
Prefix:DR
First Name:TRINELL
Middle Name:ROXANN
Last Name:BAILEY
Suffix:
Gender:F
Credentials:LPCT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 LUMAR CT
Mailing Address - Street 2:
Mailing Address - City:EDGARD
Mailing Address - State:LA
Mailing Address - Zip Code:70049-2742
Mailing Address - Country:US
Mailing Address - Phone:985-817-0082
Mailing Address - Fax:
Practice Address - Street 1:115 LUMAR CT
Practice Address - Street 2:
Practice Address - City:EDGARD
Practice Address - State:LA
Practice Address - Zip Code:70049-2742
Practice Address - Country:US
Practice Address - Phone:985-817-0082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LATB865105101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral