Bailey Marie Cooper, B.A.
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Beardstown, IL
NPI 1972097806 · NPPES record last updated Jun 14, 2018
Key facts
- NPI
- 1972097806
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 121 E 2ND St
Beardstown, IL 62618-1263 - Phone
- (217) 323-2980
- Fax
- (217) 323-3731
- NPI assigned
- Jun 14, 2018
- 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
- Credentials
- Bachelor of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
121 E 2ND St
Beardstown, IL 62618-1263
Mailing address
121 E 2ND St
Beardstown, IL 62618-1263
Phone (217) 323-2980
Other providers in Beardstown, IL
- City of Beardstown
- Allison J Coatney
- Pamela Erin Coats
- Meghan Leigh Collings
- Community Living Options Inc
- Caleb Allen Cox
- Melissa Ellyn Cox
- Amber Crowley
- Robin A Days
- Betty Jean Degroot
All providers in Beardstown, IL · Addiction (Substance Use Disorder) Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 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.