Provider Demographics
NPI:1588481535
Name:QUATTROCHI, BAILEY (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:BAILEY
Middle Name:
Last Name:QUATTROCHI
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4213 CUMMINGS DR
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-8641
Mailing Address - Country:US
Mailing Address - Phone:817-897-5689
Mailing Address - Fax:
Practice Address - Street 1:5300 DEMOCRACY DR STE 110
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3546
Practice Address - Country:US
Practice Address - Phone:469-838-3837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX96117101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor