| Provider / Organization | NPI | Date Certified |
|---|---|---|
| BAILEY CAROLINE AMIS | 1720662448 | 2021-05-09 |
Bailey Caroline Amis is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1720662448. Registration indicates Bailey Caroline Amis is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Professional, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Professional, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Bailey Caroline Amis |
| Practice Office Address | 30 N MICHIGAN AVE CHICAGO, IL US |
| Practice Office Telephone | 3127253093 |
| Mailing Address | 2516 W MEDILL AVE APT 1 CHICAGO, IL 606475174 US |
| Business Telephone | 9182305189 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 2755 N Pine Grove Ave | Chicago, IL 606146109 | 9182305189 |
| HIPAA Compliant Email [] | [email protected] | |
| HIPAA Compliant Email [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 101YP2500X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Professional Behavioral Health/Substance Abuse/Psychiatry Counselor Professional Behavioral Health & Social Service Providers Counselor |