Provider Demographics
NPI:1396141701
Name:MICHAEL BAILEY ASSOCIATES LLC
Entity type:Organization
Organization Name:MICHAEL BAILEY ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LIFE COACH
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-405-8246
Mailing Address - Street 1:1772 SAMARIA TRL
Mailing Address - Street 2:
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-7429
Mailing Address - Country:US
Mailing Address - Phone:404-405-8246
Mailing Address - Fax:
Practice Address - Street 1:1772 SAMARIA TRL
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-7429
Practice Address - Country:US
Practice Address - Phone:404-405-8246
Practice Address - Fax:404-596-8622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-12
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization