Mary Bailey, LAC
Individual provider Active NPI Mental Health Counselor · Cherry Hill, NJ
NPI 1043870637 · NPPES record last updated Jun 17, 2019
Key facts
- NPI
- 1043870637
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 37AC00234900 (NJ)
- Practice address
- 1873 Marlton Pike E Ste 2-C
Cherry Hill, NJ 08003-2012 - Phone
- (732) 982-2888
- Fax
- (847) 859-5885
- NPI assigned
- Jun 17, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00234900 | NJ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Behavioral Health P.C | Past | Accepting new patients | |
| PHC of Buffalo Grove Clinical Psychology | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37AC00234900 | NJ | Yes |
Addresses
Primary practice location
1873 Marlton Pike E Ste 2-C
Cherry Hill, NJ 08003-2012
Mailing address
175 E Hawthorn Pkwy Ste 235
Vernon Hills, IL 60061-1454
Phone (847) 737-8768
Other providers in Cherry Hill, NJ
- Damian Bagley
- Daniel A Baik
- John Trevor Bailer
- Erin Bailey
- Jennifer Lee Bailey
- Yury Bak
- Perry Rashiyd Bakari
- Erin Baker
- Kelly M Baker
- Robin Baker
All providers in Cherry Hill, NJ · Mental Health Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.