NPI 1336755313 · live from the CMS NPI Registry
Kendra Bailey
Clinic/Center, Mental Health (Including Community Mental Health Center) in Edmond, OK. National Provider Identifier 1336755313, active.
NPI record
| NPI | 1336755313 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Mental Health (Including Community Mental Health Center) 261QM0801X |
| Practice location | 13707 Fairhill Ave, Edmond, OK 73013 |
| Practice phone | 405-607-4041 |
| Mailing address | 8000 W Us Highway 290 Apt 2208, Austin, TX 78736 |
| Enumerated | September 16, 2020 |
| Last updated | July 14, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | — |
| Social Worker, School | 1041S0200X | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) primary | 261QM0801X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.