Ebone Brianne Bailey
Counselor, Mental Health in Conyers, GA. Individual provider (NPI-1).
NPI number1275322018
StatusActive
Last updated in NPPESMay 6, 2025
Details
- NPI
- 1275322018
- Entity type
- Individual (NPI-1)
- Name
- Ebone Brianne Bailey
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 6, 2025
- Certification date
- May 6, 2025
- Last updated
- May 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
2365 Wall St Se Ste 220Conyers, GA 30013-2197
Phone 470-829-6301
Mailing address
860 Glenwood Ave Se Apt 106Atlanta, GA 30316-1992
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