Doctor Name: | MEGAN BAILEY |
NPI Number: | 1831556984 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | BBH-LCSW-LIC-15917 |
Business Practice Address: | 109 1st Avenue St. Ignatius, MT - 59865 |
Business Phone Number: | 4067453681 |
Business Fax Number: | 4077453686 |
Mailing Address: | Po Box 703, ST IGNATIUS |
State: | MT |
Postal Code: | 598650703 |
Phone Number: | 4067453681 |
Fax Number: | 4067453686 |
NPI Enumeration Date: | 01/20/2016 |
NPI Last Update Date: | 01/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | BBH-LCSW-LIC-15917 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |