Provider Demographics
NPI:1942922778
Name:BRIANNA J. BAILEY PLLC
Entity Type:Organization
Organization Name:BRIANNA J. BAILEY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIANNA
Authorized Official - Middle Name:J
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:LLP
Authorized Official - Phone:440-429-3575
Mailing Address - Street 1:3360 RILEY THOMPSON RD
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:MI
Mailing Address - Zip Code:49461-9730
Mailing Address - Country:US
Mailing Address - Phone:440-429-3575
Mailing Address - Fax:
Practice Address - Street 1:3360 RILEY THOMPSON RD
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:MI
Practice Address - Zip Code:49461-9730
Practice Address - Country:US
Practice Address - Phone:440-429-3575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty