Provider Demographics
NPI:1366745937
Name:BAILEY, FRANK LOUIS III (LADC, LMHP, LPC)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:LOUIS
Last Name:BAILEY
Suffix:III
Gender:M
Credentials:LADC, LMHP, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1941 S 42ND ST
Mailing Address - Street 2:SUITE 528
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68105-2939
Mailing Address - Country:US
Mailing Address - Phone:402-504-3242
Mailing Address - Fax:402-504-3882
Practice Address - Street 1:1941 S 42ND ST
Practice Address - Street 2:SUITE 528
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105-2939
Practice Address - Country:US
Practice Address - Phone:402-504-3242
Practice Address - Fax:402-504-3882
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-21
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE612101YA0400X
NE4528101YP2500X
NE2202101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)