MALLORY BAILEY (NPI# 1538557749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538557749 |
| Entity Type | Individual |
| Full Name | MALLORY BAILEY |
| Credential | M.A. |
| Practice Address |
108 Duncraig Dr Lynchburg VA 24502 |
| Mailing Address |
513 Savannah Ave Lynchburg VA 24502-2931 |
| Practice Telephone | 4342379450 |
| Mailing Telephone | 7047365161 |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2019-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0701008393 | VA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3898 New Vision Dr, Ste E Building 13, Fort Wayne, IN 46845 | 2604718141 | 2604717979 |
| 108 Duncraig Dr, Lynchburg, VA 24502 | 4342379450 | |
| 20838 Timberlake Rd Ste B, Lynchburg, VA 24502 | 4344737458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619475738 | Mallory Bailey | Physical Therapy Assistant | 731 Leighton Ave, Anniston, AL 36207-5761 | 2018-01-23 |
| Street Address |
108 DUNCRAIG DR |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154413771 | Strategic Therapy Associates, Inc. | Counselor | 108 Duncraig Dr, Lynchburg, VA 24502-3335 | 2006-09-29 |
| 1871039107 | Jeremy Lormis | Counselor | 108 Duncraig Dr, Lynchburg, VA 24502-3335 | 2017-01-10 |
| 1659464477 | Strategic Therapy Associates, Inc. | Counselor | 108 Duncraig Dr, Lynchburg, VA 24502-3335 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523038 | Vivian Tran | Student in an Organized Health Care Education/Training Program | Liberty University College of Osteopathic Medicine, 306 Liberty View Ln, Lynchburg, VA 24502 | 2020-03-19 |
| 1669005468 | Beth Elaine Hammond | Nurse Practitioner | 132 Frederick Drive, Lynchburg, VA 24502 | 2020-02-20 |
| 1225672348 | Pearlren-aye Elizabeth Taylor | Case Management | 542 Leesville Rd, Apt 127, Lynchburg, VA 24502 | 2019-10-31 |
| 1821553868 | Shavonne D Joyner | Behavioral Analyst | 18697 Forest Road, Lynchburg, VA 24502 | 2019-02-04 |
| 1043794415 | Robert Patrick Thomas | Private Vehicle | 44 Point Drive, Apt 30, Lynchburg, VA 24502 | 2018-09-20 |
| 1023503521 | Ptc Wellness Centers PC | Family Medicine | 2832 Candlers Mtn Rd, Lynchburg, VA 24502 | 2018-06-27 |
| 1548750722 | Raymond W Andrews IIi | Speech-Language Pathologist | 3101 Wards Ferry Road, Lynchburg, VA 24502 | 2018-05-14 |
| 1932697596 | Barbara J Frost | Nurse Practitioner | 906 Westview Dr, Lynchburg, VA 24502 | 2018-04-28 |
| 1619476983 | Benjamin Aaron Galley | Specialist/Technologist | 1971 University Blvd., Lynchburg, VA 24502 | 2018-02-01 |
| 1477076180 | Candice Cage | Home Health | 1002 Wexford Place, Lynchburg, VA 24502 | 2017-07-25 |
| Find all providers in zip 24502 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669019022 | Brandy Lee Vancil | Counselor | 517 Leesville Rd Ste 203, Lynchburg, VA 24502-2349 | 2019-12-04 |
| 1639670946 | Russell Alan Bays II | Counselor | 18321 Forest Rd, Lynchburg, VA 24502-4359 | 2018-02-22 |
| 1770091530 | Annamarie Elmore Compton | Counselor | 1617 Enterprise Dr # A, Lynchburg, VA 24502-5797 | 2018-01-15 |
| 1427565019 | Eugene Alphonso Tweedy Jr. | Counselor | 707 Polk St, Lynchburg, VA 24504-2935 | 2018-01-04 |
| 1295241123 | Denise Marie Ditto | Counselor | 1900 Tate Springs Rd Suite 3, Lynchburg, VA 24504 | 2017-12-14 |
| 1942726575 | Melissa Rolfes | Counselor | 1900 Tate Springs Rd Ste 3, Lynchburg, VA 24501-1115 | 2017-08-15 |
| 1831540509 | Nathan Duff | Counselor | 4026 Wards Rd, Unit G1 #232, Lynchburg, VA 24502-2977 | 2016-06-23 |
| 1952768749 | Patricia Gail Hall | Counselor | 137 Laxton Rd Ste 1l, Lynchburg, VA 24502-3144 | 2016-01-25 |
| 1972934164 | Michael T Reffner | Counselor | 130 Willard Way, Lynchburg, VA 24502 | 2013-12-12 |
| 1609209832 | National Counseling Group Inc. | Counselor | 201 Archway Ct, Lynchburg, VA 24502-3159 | 2013-08-12 |
| Find all providers in LYNCHBURG | ||||
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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.