Provider Demographics
NPI:1639759194
Name:BAILEY WELLNESS GROUP, LLC.
Entity Type:Organization
Organization Name:BAILEY WELLNESS GROUP, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CLINICAL SOCIAL WORKER
Authorized Official - Prefix:DR
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:C
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:DSW, LICSW, PIP
Authorized Official - Phone:205-259-9924
Mailing Address - Street 1:PO BOX 88
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-2019
Mailing Address - Country:US
Mailing Address - Phone:205-259-9924
Mailing Address - Fax:
Practice Address - Street 1:228 SHELBY FARMS BND
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-5076
Practice Address - Country:US
Practice Address - Phone:205-259-9924
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-09
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health