Provider Demographics
NPI:1760827224
Name:LINNEA BAILEY COUNSELING, LLC
Entity Type:Organization
Organization Name:LINNEA BAILEY COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINNEA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:717-519-9986
Mailing Address - Street 1:PO BOX 363
Mailing Address - Street 2:
Mailing Address - City:MOUNT JOY
Mailing Address - State:PA
Mailing Address - Zip Code:17552-0363
Mailing Address - Country:US
Mailing Address - Phone:717-519-9986
Mailing Address - Fax:
Practice Address - Street 1:255 BUTLER AVE
Practice Address - Street 2:SUITE 301H
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6308
Practice Address - Country:US
Practice Address - Phone:717-519-9986
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-09
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS008817103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty