Provider Demographics
NPI:1497028393
Name:BAILEY, MEGHAN E (LCMHC)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:E
Last Name:BAILEY
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 STILES RD STE B202
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-4846
Mailing Address - Country:US
Mailing Address - Phone:508-320-5844
Mailing Address - Fax:
Practice Address - Street 1:53 STILES RD STE B202
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-4846
Practice Address - Country:US
Practice Address - Phone:508-320-5844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-23
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7898101YM0800X
NH905101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health