Provider Demographics
NPI:1801527932
Name:BAILEY, HYKEEN (LCSW)
Entity type:Individual
Prefix:
First Name:HYKEEN
Middle Name:
Last Name:BAILEY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 COBB PKWY SE APT 2302
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-7750
Mailing Address - Country:US
Mailing Address - Phone:678-860-1778
Mailing Address - Fax:
Practice Address - Street 1:2100 COBB PKWY SE APT 2302
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-7750
Practice Address - Country:US
Practice Address - Phone:678-860-1778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-20
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0078951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical