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MR. JUSTIN DAVID BAILEM MHC
NPI 1093140352
Counselor - Mental Health in Moncks Corner, SC

Active since September 05, 2013
403 STONY LANDING RD, MONCKS CORNER, SC 29461(843) 761-8282(843) 761-7308 Get Directions Write a Review

NPPES record last updated: September 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Justin David Bailem Mhc NPPES

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

MR. JUSTIN DAVID BAILEM MHC (NPI 1093140352) is an individual mental health provider in Moncks Corner, South Carolina and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1093140352
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JUSTIN DAVID BAILEMCredential: MHC
Location Address403 STONY LANDING RDMoncks Corner, SC 29461-3967
Mailing Address403 Stony Landing RdMoncks Corner, SC 29461-3967 · (843) 761-8282 · Fax (843) 761-7308
Phone(843) 761-8282
Fax(843) 761-7308
Sole ProprietorNo
Enumeration DateSeptember 5, 2013
✔ NPI 1093140352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
403 STONY LANDING RD, Moncks Corner, SC 29461
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Other Identifiers 2

Medicare PIN3348SC
Medicaid435201SC

Other Providers at the Same Location NPPES 20

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

SHANE R SMITH LMSW
Social Worker
403 STONY LANDING RD
MONCKS CORNER, SC 29461
Berkeley County (843) 761-8282
MR. JOHN M DORMAN LPC
Counselor (Mental Health)
403 STONY LANDING RD
MONCKS CORNER, SC 29461
Berkeley County (843) 761-8282
ROBIN A MINUTELLO LMSW
Social Worker (Clinical)
403 STONY LANDING RD
MONCKS CORNER, SC 29461
Berkeley County (184) 376-1828
TEDREA RENEE WILSON
Counselor (Mental Health)
403 STONY LANDING RD
MONCKS CORNER, SC 29461
Berkeley County (843) 761-8282
AMELIA H ANDERSON
Counselor (Mental Health)
403 STONY LANDING RD
MONCKS CORNER, SC 29461
Berkeley County (843) 761-8282
MRS. SHANTASIA M. A, SIMMONS RN
Counselor (Mental Health)
403 STONY LANDING RD
MONCKS CORNER, SC 29461
Berkeley County (843) 761-8282
PATRICIA A LANDREMAN RN
Registered Nurse (Psychiatric/Mental Health)
403 STONY LANDING RD
MONCKS CORNER, SC 29461
Berkeley County (843) 761-8282
KATERINA O VILLANUEVA
Counselor (Mental Health)
403 STONY LANDING RD
MONCKS CORNER, SC 29461
Berkeley County (843) 761-8282

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 Justin Bailem's NPI number?

The NPI number for Justin Bailem is 1093140352. It was assigned to this individual provider in the NPPES registry on September 5, 2013.

Where is Justin Bailem located?

Justin Bailem practices at 403 Stony Landing Rd, Moncks Corner, SC 29461. The listed phone number is (843) 761-8282.

What is Justin Bailem's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Justin Bailem was last updated on September 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.