Lita Renee Bailey, MSW
Individual provider Active NPI Mental Health Counselor · Hyde Park, MA
NPI 1154964070 · NPPES record last updated Oct 23, 2019
Key facts
- NPI
- 1154964070
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 21 Radcliffe Rd
Hyde Park, MA 02136-6112 - Phone
- (617) 233-2641
- NPI assigned
- Oct 23, 2019
- Sex
- Female
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MA | Yes |
Addresses
Primary practice location
21 Radcliffe Rd
Hyde Park, MA 02136-6112
Mailing address
21 Radcliffe Rd
Hyde Park, MA 02136-6112
Phone (617) 233-2641
Other names
- Lita Renee Cannady
Other providers in Hyde Park, MA
- At Peace Caregivers Agency LLC
- Ary-Lex Auguste
- Lakisha R Austin
- Saadia Aaliyah Aziz
- Jacqueline Bailey
- Adenike Mobolaji Bakre
- Richard R. Bankhead
- Seana M Barrett
- Lianne Bartlett-Frye
- Bettina C Bastien
All providers in Hyde Park, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 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.