Provider Demographics
NPI:1760547152
Name:BAILEY, DARRYL EUGENE (LPC,LMFT,LCDC)
Entity Type:Individual
Prefix:MR
First Name:DARRYL
Middle Name:EUGENE
Last Name:BAILEY
Suffix:
Gender:M
Credentials:LPC,LMFT,LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5909 WEST LOOP S
Mailing Address - Street 2:400A
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2402
Mailing Address - Country:US
Mailing Address - Phone:713-641-6348
Mailing Address - Fax:713-641-6348
Practice Address - Street 1:5909 WEST LOOP S
Practice Address - Street 2:400A
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2402
Practice Address - Country:US
Practice Address - Phone:713-641-6348
Practice Address - Fax:713-641-6348
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12762101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional