| Doctor Name: | MRS. TENORA SHANN BAILEY |
| NPI Number: | 1386932077 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.ED., LMHC |
| License Number: | MH10838 |
| Business Practice Address: | 2101 W Highway 390 Apt. 1101 Lynn Haven, FL - 324446502 |
| Business Phone Number: | 8507736600 |
| Business Fax Number: | 8507736565 |
| Mailing Address: | 2101 W Highway 390, Apt. 1101 LYNN HAVEN |
| State: | FL |
| Postal Code: | 324446502 |
| Phone Number: | 8507736600 |
| Fax Number: | 8507736565 |
| NPI Enumeration Date: | 07/14/2011 |
| NPI Last Update Date: | 07/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH10838 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |