| Organization Name: | PEGGY BAILEY LMHC INC |
| NPI Number: | 1194099077 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARGARET E BAILEY (OWNER) |
| Mailing Address: | 774 State Road 13 Ste 7 Saint Johns |
| State: | FL US |
| Postal Code: | 322593857 |
| Phone Number: | 9042870820 |
| Fax Number: | 9042874141 |
| NPI Enumeration Date: | 02/24/2012 |
| NPI Last Update Date: | 02/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH 3293 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |