Provider Demographics
NPI:1588470363
Name:HEBERT, BAILEY NICOLE (LMSW)
Entity type:Individual
Prefix:MS
First Name:BAILEY
Middle Name:NICOLE
Last Name:HEBERT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4121 GALLATIN PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37216-2109
Mailing Address - Country:US
Mailing Address - Phone:615-669-7063
Mailing Address - Fax:
Practice Address - Street 1:1100 CORTNER RD
Practice Address - Street 2:
Practice Address - City:NORMANDY
Practice Address - State:TN
Practice Address - Zip Code:37360-9054
Practice Address - Country:US
Practice Address - Phone:931-208-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-06
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14652104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker