| Kelley Bailey, Llc | |
|
320 N Broadway Ste 112 Edmond OK 73034-3642 | |
| (405) 474-1813 | |
| Not Available |
| Full Name | Kelley Bailey, Llc |
|---|---|
| Speciality | Counselor |
| Location | 320 N Broadway Ste 112, Edmond, Oklahoma |
| Authorized Official Name and Position | Kelley R Bailey (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 4054741813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelley Bailey, Llc 3325 French Park Dr Suite 9 Edmond OK 73034-7277 Ph: (405) 474-1813 | Kelley Bailey, Llc 320 N Broadway Ste 112 Edmond OK 73034-3642 Ph: (405) 474-1813 |
| NPI Number | 1255871703 |
|---|---|
| Provider Enumeration Date | 03/02/2017 |
| Last Update Date | 02/10/2025 |
| Certification Date | 02/10/2025 |
| Medicare PECOS PAC ID | 4880123744 |
|---|---|
| Medicare Enrollment ID | O20250122003346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255871703 | NPI | - | NPPES |
| 200538400A | Medicaid | OK |
| Provider Name | Kelley Bailey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952713877 PECOS PAC ID: 5799214656 Enrollment ID: I20250213000847 |
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