Provider Demographics
NPI:1689339152
Name:CRIST, BAILEY LYNN (LLMSW)
Entity Type:Individual
Prefix:
First Name:BAILEY
Middle Name:LYNN
Last Name:CRIST
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1108 W WASHINGTON ST STE C
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-4076
Mailing Address - Country:US
Mailing Address - Phone:906-256-2951
Mailing Address - Fax:
Practice Address - Street 1:1108 W WASHINGTON ST STE C
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-4076
Practice Address - Country:US
Practice Address - Phone:906-256-2951
Practice Address - Fax:906-629-6334
Is Sole Proprietor?:No
Enumeration Date:2021-11-01
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical