Melanie Bailey, LPC
Individual provider Active NPI Mental Health Counselor · Harrison, AR
NPI 1053697607 · NPPES record last updated Jun 20, 2018
Key facts
- NPI
- 1053697607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- P1505047 (AR)
- Practice address
- 114 E Crandall Ave Ste B
Harrison, AR 72601-3628 - Phone
- (870) 741-8484
- Fax
- (870) 741-4088
- NPI assigned
- Oct 27, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1505047 | AR | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P1505047 | AR | Yes |
Addresses
Primary practice location
114 E Crandall Ave Ste B
Harrison, AR 72601-3628
Mailing address
2153 E Joyce Blvd Ste 201
Fayetteville, AR 72703-5285
Phone (479) 575-9471
Other providers in Harrison, AR
- Waleed H Ayesh
- B & H Operations CSSP
- B & H Operations CSSP
- Bailey Behavioral Health LLC
- David Wayne Bailey
- Makaya Rhea Baker
- Paige Baker
- Todd F Baker
- Linda Marie Balcerak
- Cherisse Melissa Baldeo
All providers in Harrison, AR · Mental Health Counselor in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.