Provider Demographics
NPI:1801064373
Name:BAILEY, JANET (LPC)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:
Last Name:BAILEY
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 1:5000 W 45TH AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-5334
Mailing Address - Country:US
Mailing Address - Phone:806-355-6003
Mailing Address - Fax:806-355-3670
Practice Address - Street 1:5000 W 45TH AVE
Practice Address - Street 2:SUITE B
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-5334
Practice Address - Country:US
Practice Address - Phone:806-355-6003
Practice Address - Fax:806-355-3670
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-18
Last Update Date:2008-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11949101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional