Provider Demographics
NPI:1205283124
Name:BAILEY, ELIZABETH S (LMHC)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:S
Last Name:BAILEY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 OLD DERBY ST STE 260
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-4064
Mailing Address - Country:US
Mailing Address - Phone:781-783-7522
Mailing Address - Fax:
Practice Address - Street 1:160 OLD DERBY ST STE 260
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-4064
Practice Address - Country:US
Practice Address - Phone:781-783-7522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-20
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4837101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health