Individual provider · NPI-1

Larry Bailey, MA, LPC

Counselor, Professional · Conroe, TX

NPI number1407132996
StatusActive
Last updated in NPPESOct 27, 2011

Details

NPI
1407132996
Entity type
Individual (NPI-1)
Name
Larry Bailey
Credential
MA, LPC
Sex
Male
Sole proprietor
No
Enumeration date
Oct 27, 2011
Last updated
Oct 27, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional19673TXYes

Practice location

212 Conroe Dr
Conroe, TX 77301-1950

Phone 936-444-3546 · Fax 936-760-9101

Mailing address

212 Conroe Dr
Conroe, TX 77301-1950

Phone 936-444-3546 · Fax 936-760-9101

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Counselor, Professional providers in Conroe, TX