| Doctor Name: | DR. BAILEY MACLEOD |
| NPI Number: | 1467807172 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | |
| Business Practice Address: | 706 Northeast Dr Suite 1 Davidson, NC - 280367419 |
| Business Phone Number: | 8636041450 |
| Business Fax Number: | |
| Mailing Address: | 1635 Herrin Ave, CHARLOTTE |
| State: | NC |
| Postal Code: | 282052035 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/01/2016 |
| NPI Last Update Date: | 05/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |