Provider Demographics
NPI:1225818750
Name:BAILEY, ELIZABETH (MSCP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:BAILEY
Suffix:
Gender:F
Credentials:MSCP
Other - Prefix:
Other - First Name:LIZ
Other - Middle Name:
Other - Last Name:BAILEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSCP
Mailing Address - Street 1:510 3RD AVE FL 5
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-2107
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:510 3RD AVE FL 5
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-2107
Practice Address - Country:US
Practice Address - Phone:412-223-7286
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-02
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health