KENDRICK BAILEY LCPC NPI 1205095692

NPI Information

NPI: 1205095692
Provider Name: KENDRICK BAILEY, LCPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
900 MAIN ST STE 580
PEORIA, IL
ZIP 61602
Phone: (309) 637-4266
Get Directions

Kendrick Bailey, LCPC is a professional counselor in Peoria, IL. Kendrick Bailey, LCPC NPI is 1205095692. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

900 MAIN ST STE 580
PEORIA, IL
ZIP 61602-065
Phone: (309) 637-4266
Fax: (309) 637-9836

The enumeration date for this NPI number is 6/2/2008 and was last updated on 3/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	1800067893	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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