Provider Demographics
NPI:1639973852
Name:BAILEY'S SUPPORTIVE SOLUTIONS LLC
Entity type:Organization
Organization Name:BAILEY'S SUPPORTIVE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:KACY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:765-748-1752
Mailing Address - Street 1:14445 N COUNTY ROAD 450 E
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47320-9596
Mailing Address - Country:US
Mailing Address - Phone:765-748-1752
Mailing Address - Fax:
Practice Address - Street 1:14445 N COUNTY ROAD 450 E
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47320-9596
Practice Address - Country:US
Practice Address - Phone:765-748-1752
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty