Individual provider · NPI-1
Aniqua Bailey
Counselor, Mental Health · Detroit, MI
NPI number1013368836
StatusActive
Last updated in NPPESJun 24, 2021
Details
- NPI
- 1013368836
- Entity type
- Individual (NPI-1)
- Name
- Aniqua Bailey
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2016
- Certification date
- Jun 23, 2021
- Last updated
- Jun 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – | |
| 247200000X | Technician, Other | – | – | |
| 101Y00000X | Counselor | – | – | |
| 101YS0200X | Counselor, School | – | – |
Practice location
17321 Telegraph RdDetroit, MI 48219-3132
Phone 313-409-8132
Mailing address
Po Box 40629Redford, MI 48240-0629
Phone 313-409-8132
Other practice locations
17224 Olympia
Redford, MI 48240-2166
Redford, MI 48240-2166
Phone 313-335-3756
8851 Cloverlawn St
Detroit, MI 48204-2728
Detroit, MI 48204-2728
Phone 313-409-8132
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