Nancy W Bailey

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Twin Falls, ID

NPI 1295923563 · NPPES record last updated Oct 11, 2007

Key facts

NPI
1295923563
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
1022997 (ID)
Practice address
276 River Vista PL
Twin Falls, ID 83301-3006
Phone
(208) 733-1131
Fax
(208) 733-1141
NPI assigned
Oct 11, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1022997IDMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Care Compassion Communication LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1022997 ID Yes

Addresses

Primary practice location

276 River Vista PL
Twin Falls, ID 83301-3006

Mailing address

276 River Vista PL
Twin Falls, ID 83301-3006
Phone (208) 733-1131

Other providers in Twin Falls, ID

All providers in Twin Falls, ID · Addiction (Substance Use Disorder) Counselor in Idaho

Sources for this page

Verify at the official NPI Registry.