Provider Demographics
NPI:1639283682
Name:BAILEY, CHRISTOPHER WAYNE (LMFT)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:WAYNE
Last Name:BAILEY
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13333 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 230
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3581
Mailing Address - Country:US
Mailing Address - Phone:281-277-8811
Mailing Address - Fax:
Practice Address - Street 1:13333 SOUTHWEST FWY
Practice Address - Street 2:SUITE 230
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3581
Practice Address - Country:US
Practice Address - Phone:281-277-8811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5157106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist