Levi J Bailey
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Mapleton, UT
NPI 1124594676 · NPPES record last updated Oct 22, 2018
Key facts
- NPI
- 1124594676
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 7658471-6005 (UT)
- Practice address
- 853 S Crescent Row
Mapleton, UT 84664-5503 - Phone
- (385) 482-5189
- Fax
- (801) 465-7762
- NPI assigned
- Oct 22, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 7658471-6005 | UT | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 7658471-6005 | UT | Yes |
Addresses
Primary practice location
853 S Crescent Row
Mapleton, UT 84664-5503
Mailing address
853 S Crescent Row
Mapleton, UT 84664-5503
Phone (385) 482-5189
Other providers in Mapleton, UT
- Kurt M. Alexander
- Timothy David Anderson
- Aspen Summit Chiropractic and Wellness
- Leslie T. Bastian
- Jenessa Paige Beaumont
- Blanchard Medical, LLC
- Jason Blanchard
- Reva Blaney
All providers in Mapleton, UT · Addiction (Substance Use Disorder) Counselor in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2018. 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.