Ieshai Tawanda Bailey-Davis
Mental Health Counselor
1881 Ne 26th St Ste 202a
Wilton Manors
, Florida 33305-1416
Ieshai Tawanda Bailey-Davis
Mental Health Counselor
1881 Ne 26th St Ste 202a
Wilton Manors
, Florida 33305-1416
(904) 204-3291
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Ieshai Tawanda Bailey-Davis
- 1881 Ne 26th St Ste 202a
- Wilton Manors, FL
- Zip : 33305-1400
- Fax : (904) 204-3291
- Phone : (954) 903-7611
Second Address
- Ieshai Tawanda Bailey-Davis
- 1881 Ne 26th St Ste 202a
- Wilton Manors, FL
- Zip : 33305-1416
- Fax : (954) 204-3291
- Phone : (954) 903-7611
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor | MH14483 | FL |
National Provider Identifier
| NPI | 1003217894 |
|---|---|
| Provider Name | Ieshai Tawanda Bailey-Davis |
| First Address | Wilton Manors, FL 33305-1400 |
| Second Address | Wilton Manors, FL 33305-1416 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/09/2014 |
| Last Update Date | 22/09/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.