Provider Demographics
NPI:1659184745
Name:BAILY, ALEXA ANN (LAPC, MA, NCC)
Entity type:Individual
Prefix:
First Name:ALEXA
Middle Name:ANN
Last Name:BAILY
Suffix:
Gender:F
Credentials:LAPC, MA, NCC
Other - Prefix:
Other - First Name:ALEXA
Other - Middle Name:ANN
Other - Last Name:GREEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:405 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:WAYNESBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15370-1009
Mailing Address - Country:US
Mailing Address - Phone:614-325-6384
Mailing Address - Fax:
Practice Address - Street 1:95 E HIGH ST STE 407
Practice Address - Street 2:
Practice Address - City:WAYNESBURG
Practice Address - State:PA
Practice Address - Zip Code:15370-1853
Practice Address - Country:US
Practice Address - Phone:614-325-6384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAPC000642101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health