Active NPIIndividual provider

Deborah J Bailly, LADC, CCS, LCSW

Counselor, Addiction (Substance Use Disorder) in Bangor, Maine

NPI Number1790916898
Practice location
253-255 Hammond St., Bangor, ME 04401
Fax
207-941-1634
Last updated
August 6, 2009

Deborah J Bailly is a Counselor, Addiction (Substance Use Disorder) based in Bangor, ME. Deborah J Bailly practices in Bangor, ME and has the professional credentials of LADC, CCS, LCSW. The NPI Number for Deborah J Bailly is 1790916898 and holds a License No. LC1261 (ME). The current practice location address for Deborah J Bailly is 253-255 Hammond St., Bangor, ME 04401 and can be reached out via phone at 207-941-1612 and via fax at 207-941-1634.

Provider Profile Details

NPI Number
1790916898
Provider Name
Deborah J Bailly
Credential
LADC, CCS, LCSW
Provider Entity Type
Individual
Gender
Female
Address
253-255 Hammond St., Bangor, ME 04401
Phone Number
207-941-1612
Fax Number
207-941-1634
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
August 6, 2009
Last Update Date
August 6, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
253-255 Hammond St.
Bangor, ME 04401
City
Bangor
State
Maine
Zip
04401
Phone Number
207-941-1612
Fax Number
207-941-1634
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
98 Cumberland St
Bangor, ME 04401-5234
City
Bangor
State
ME
Zip
04401-5234

License Information

License Number (1)
LC1261
License State (1)
ME
Taxonomy (1)
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
License Number (2)
CCS3171
License State (2)
ME
License Number (3)
LC5073
License State (3)
ME
Taxonomy (3)
Counselor, Mental Health · 101YM0800X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Deborah J Bailly, LADC, CCS, LCSW?

The NPI number of Deborah J Bailly, LADC, CCS, LCSW is 1790916898. It was assigned on August 6, 2009 and is currently active in the NPPES registry.

What is the specialty of Deborah J Bailly, LADC, CCS, LCSW?

Deborah J Bailly, LADC, CCS, LCSW is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in ME under license number LC1261.

Where does Deborah J Bailly, LADC, CCS, LCSW practice?

The practice location is 253-255 Hammond St., Bangor, ME 04401. The office can be reached at 207-941-1612 (phone) or 207-941-1634 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790916898 directly on the NPPES registry website.

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