Individual provider · Type 1 NPI

Ieshai Tawanda Bailey, PhD, CMHC, LMHC, CST

Mental Health Counselor · Fort Lauderdale, FL

NPI number 1003217894 Active

Practice location

401 NW 16th Avenue N
Fort Lauderdale, FL 33311-6250

Call (904) 738-3506 Map

Fax (904) 204-3291

Mailing address

114 Lake Emerald Dr Apt 405
Oakland Park, FL 33309-6250

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH14483 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1003217894

Ieshai Tawanda Bailey, PhD, CMHC, LMHC, CST's National Provider Identifier is 1003217894, issued on Sep 11, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Lauderdale, FL. The record was last updated on May 7, 2023.