BOSTON BAILEY PCCSS
NPI 1629843453
Counselor in Hattiesburg, MS

Active since November 21, 2023
103 S 19TH AVE, HATTIESBURG, MS 39401(601) 544-4641(601) 582-1907 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Boston Bailey Pccss NPPES

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

BOSTON BAILEY PCCSS (NPI 1629843453) is an individual counselor in Hattiesburg, Mississippi, licensed in Mississippi (4000) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1629843453
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameBOSTON BAILEYCredential: PCCSS
Location Address103 S 19TH AVEHattiesburg, MS 39401-6171
Mailing AddressPo Box 18679Hattiesburg, MS 39404-8679 · (601) 705-1901
Fax(601) 582-1907
Sole ProprietorNo
Enumeration DateNovember 21, 2023
NPPES CertifiedNovember 21, 2023
NPI 1629843453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in MS · 4000
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
103 S 19TH AVE, Hattiesburg, MS 39401

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.

Psychiatry & Neurology (Psychiatry)
103 S 19TH AVE
HATTIESBURG, MS 39401
Counselor
103 S 19TH AVE
HATTIESBURG, MS 39401
Counselor (Mental Health)
103 S 19TH AVE
HATTIESBURG, MS 39401
Counselor
103 S 19TH AVE
HATTIESBURG, MS 39401
Counselor
103 S 19TH AVE
HATTIESBURG, MS 39401
Counselor
103 S 19TH AVE
HATTIESBURG, MS 39401
Counselor (Mental Health)
103 S 19TH AVE
HATTIESBURG, MS 39401
Counselor (Mental Health)
103 S 19TH AVE
HATTIESBURG, MS 39401

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 Boston Bailey's NPI number?

The NPI number for Boston Bailey is 1629843453. It was assigned to this individual provider in the NPPES registry on November 21, 2023.

Where is Boston Bailey located?

Boston Bailey practices at 103 S 19th Ave, Hattiesburg, MS 39401. The listed phone number is (601) 544-4641.

What is Boston Bailey's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Boston Bailey was last updated on November 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.