Provider Demographics
NPI:1336919943
Name:SWINFORD-CARMICHAEL, BAILEY C (LPC)
Entity Type:Individual
Prefix:
First Name:BAILEY
Middle Name:C
Last Name:SWINFORD-CARMICHAEL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5560 STRIKE THE GOLD DR
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41005-9183
Mailing Address - Country:US
Mailing Address - Phone:859-815-9983
Mailing Address - Fax:
Practice Address - Street 1:431 OHIO PIKE STE 312
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-3629
Practice Address - Country:US
Practice Address - Phone:513-770-1705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2305688101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional