Provider Demographics
NPI:1154483709
Name:BAILEY, CAROLYN JOY (LMHC)
Entity Type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:JOY
Last Name:BAILEY
Suffix:
Gender:F
Credentials:LMHC
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 267
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-0007
Mailing Address - Country:US
Mailing Address - Phone:978-352-5325
Mailing Address - Fax:978-777-9974
Practice Address - Street 1:10 MAPLE ST
Practice Address - Street 2:SUITE 204
Practice Address - City:MIDDLETON
Practice Address - State:MA
Practice Address - Zip Code:01949-2200
Practice Address - Country:US
Practice Address - Phone:978-352-5325
Practice Address - Fax:978-777-9974
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4266101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MALM0884OtherBLUE CROSS BLUE SHIELD