EBONY BAILEY (NPI# 1902174949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902174949 |
| Entity Type | Organization |
| Organization Name | EBONY BAILEY |
| Practice Address |
5119 Summer Ave Ste 225 Memphis TN 38122-4401 |
| Mailing Address |
2570 Lagena St Memphis TN 38106-8528 |
| Practice Telephone | 9015982431 |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2011-12-06 |
| Authorized Official Name | EBONY BAILEY (CLINICAL THERAPIST) |
| Authorized Official Telephone | 9015982431 |
| Authorized Official Credential | LPC MHSP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 0000002511 | TN | Agencies |
| Street Address |
5119 SUMMER AVE STE 225 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38122-4401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407882475 | William E White | Optometrist | 5119 Summer Ave, Memphis, TN 38122-4412 | 2006-06-23 |
| 1144654583 | Chris S Warrington | Psychologist | 5119 Summer Ave, 233, Memphis, TN 38122-4401 | 2013-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235665746 | Casey Grier Smith | Student in an Organized Health Care Education/Training Program | 3628 Autumn Ave, Memphis, TN 38122 | 2017-05-03 |
| 1730463076 | H. George Wood Jr. | Pharmacist | 3502 Summer Avenue, Memphis, TN 38122 | 2011-10-05 |
| 1093932766 | Midtown Mental Center | Point of Service | 790 Bartlett Rd #28, Memphis, TN 38122 | 2007-04-20 |
| 1508988254 | Mahboubeh Sayed Taghavi | Dentist | 5126 Summer Ave Suite 101, Memphis, TN 38122 | 2007-04-04 |
| 1700977014 | Christopher M Nunnelee | Dentist | 752 National St, Memphis, TN 38122 | 2006-09-28 |
| 1508958398 | Pirani & Nunnelee Dds Plc | Dentist | 752 National St, Memphis, TN 38122 | 2006-09-29 |
| 1417048729 | Carlo B Pirani Jr. | Dentist | 752 National St, Memphis, TN 38122 | 2006-09-28 |
| 1689708067 | Michele Gaur | Speech-Language Pathologist | 940 Dwyer St, Memphis, TN 38122-1920 | 2007-03-15 |
| 1497855522 | Mary Pat Corrigan Jobes | Physical Therapist | 977 Giaroli St, Memphis, TN 38122-1934 | 2006-09-25 |
| 1649717588 | Rebecca Ruth Cox | Advanced Practice Midwife | 3638 Macon Rd, C/o The Morning Center, Memphis, TN 38122-2209 | 2017-01-30 |
| Find all providers in zip 38122 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889823 | Infinite Changes Aba Therapy & Autism Services | Community/Behavioral Health | 5115 Covington Way Ste 5, Memphis, TN 38134-5619 | 2020-10-20 |
| 1922643220 | Rs Medical Services Ltd | Community/Behavioral Health | 2700 Jackson Ave Bldg 1, Memphis, TN 38108-3330 | 2019-11-10 |
| 1790337699 | Clean, Inc. | Community/Behavioral Health | 3146 Write Pl Apt 4, Memphis, TN 38128-4535 | 2019-07-10 |
| 1861050882 | Divine Trinity Outreach Center | Community/Behavioral Health | 4670 Mary Angela Rd, Memphis, TN 38109-4802 | 2019-06-04 |
| 1740749175 | Sunflower Counseling Service Pllc | Community/Behavioral Health | 6628 Elmore Woods Cv, Memphis, TN 38134-4745 | 2019-03-15 |
| 1548730914 | Giles Therapeutic Solutions | Community/Behavioral Health | 4234 Sunnyslope Dr, Memphis, TN 38141-7063 | 2018-11-28 |
| 1184165953 | Dr.lopez Spiritual Family Counseling | Community/Behavioral Health | 4615 Meadow Cliff Dr, Memphis, TN 38125-3274 | 2017-03-13 |
| 1528519634 | Bruce Professional Counseling Services | Community/Behavioral Health | 8159 Green Belt Dr, Memphis, TN 38125-4618 | 2016-10-24 |
| 1336690916 | Ameer Homecare Services,llc | Community/Behavioral Health | 119 Racine St, Suite 103, Memphis, TN 38111-2704 | 2016-10-19 |
| 1023566999 | Up-ward Aba | Community/Behavioral Health | 2068 Evelyn Ave, Memphis, TN 38104-5416 | 2016-09-20 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.