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SHANNON DALE BAILEY M.A., LCADC, CCS
NPI 1073881744
Counselor - Addiction (Substance Use Disorder) in Georgetown, KY

Active since December 08, 2011
105 EASTSIDE DR, GEORGETOWN, KY 40324(502) 866-0664(502) 866-0666 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2023, Sep 26, 2016 (2 updates tracked since 2016).

About Shannon Dale Bailey M.a., Lcadc, Ccs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON DALE BAILEY M.A., LCADC, CCS (NPI 1073881744) is an individual addiction (substance use disorder) provider in Georgetown, Kentucky, licensed in Kentucky (168771) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1073881744
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHANNON DALE BAILEYCredential: M.A., LCADC, CCS
Location Address105 EASTSIDE DRGeorgetown, KY 40324-9797
Mailing Address105 Eastside DrGeorgetown, KY 40324-9797 · (502) 866-0664 · Fax (502) 866-0666
Phone(502) 866-0664
Fax(502) 866-0666
Sole ProprietorNo
Enumeration DateDecember 8, 2011
Last NPPES UpdateJuly 21, 20232 updates tracked since enumeration
NPPES CertifiedJuly 21, 2023
✔ NPI 1073881744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in KY · 168771
105 EASTSIDE DR, Georgetown, KY 40324
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Other Identifiers 2

Other168771KY · Lcadc
Medicaid80236KY

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEORGETOWN MEDICAL, LLC
Clinic/Center (Methadone)
105 EASTSIDE DR
GEORGETOWN, KY 40324
Scott County (502) 868-0664
CHAMANNA SHAKARA HALL LCADC
Counselor (Addiction (Substance Use Disorder))
105 EASTSIDE DR
GEORGETOWN, KY 40324
Scott County (502) 320-2779

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Bailey's NPI number?

The NPI number for Shannon Bailey is 1073881744. It was assigned to this individual provider in the NPPES registry on December 8, 2011.

Where is Shannon Bailey located?

Shannon Bailey practices at 105 Eastside Dr, Georgetown, KY 40324. The listed phone number is (502) 866-0664.

What is Shannon Bailey's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shannon Bailey was last updated on July 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.