Provider Demographics
NPI:1396430641
Name:BAILEY, JUDY CAROL (LPCC)
Entity type:Individual
Prefix:
First Name:JUDY
Middle Name:CAROL
Last Name:BAILEY
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 283
Mailing Address - Street 2:
Mailing Address - City:LILY
Mailing Address - State:KY
Mailing Address - Zip Code:40740-0283
Mailing Address - Country:US
Mailing Address - Phone:606-515-9823
Mailing Address - Fax:
Practice Address - Street 1:6924 S US HIGHWAY 25
Practice Address - Street 2:
Practice Address - City:CORBIN
Practice Address - State:KY
Practice Address - Zip Code:40701-4956
Practice Address - Country:US
Practice Address - Phone:606-515-9823
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY276907101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional