Individual provider · Type 1 NPI

Edwina Bailey, RADT

Rehabilitation Practitioner · South Lake Tahoe, CA

NPI number 1700603909 Active

Practice location

1693 Nadowa Street
South Lake Tahoe, CA 96150

Call (623) 889-4711 Map

Mailing address

PO Box 770
Happy Camp, CA 96039-0770

Other practice locations

64105 Hillside Road, Happy Camp, CA 96039 · (623) 889-4711

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	LAAC-15597 (AZ)
Health Educator	174H00000X	None listed
Case Manager/Care Coordinator	171M00000X	None listed
Rehabilitation Practitioner Primary	225400000X	None listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Another provider at this address

Rite of Passage Adolescent Treatment Centers and Schools, Inc.Adolescent and Children Mental Health Clinic/Center South Lake Tahoe, CA NPI 1811659378

Other rehabilitation practitioner providers in South Lake Tahoe

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About NPI 1700603909

Edwina Bailey, RADT's National Provider Identifier is 1700603909, issued on Sep 20, 2024. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Dec 6, 2025.