Provider Demographics
NPI:1902669245
Name:RUTINA CORBIN-BAILEY
Entity Type:Organization
Organization Name:RUTINA CORBIN-BAILEY
Other - Org Name:TINA BAILEY CONSULTING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CORBIN-BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-656-3426
Mailing Address - Street 1:129 BOOMER ST
Mailing Address - Street 2:
Mailing Address - City:BENSON
Mailing Address - State:NC
Mailing Address - Zip Code:27504-1193
Mailing Address - Country:US
Mailing Address - Phone:919-656-3426
Mailing Address - Fax:
Practice Address - Street 1:129 BOOMER ST
Practice Address - Street 2:
Practice Address - City:BENSON
Practice Address - State:NC
Practice Address - Zip Code:27504-1193
Practice Address - Country:US
Practice Address - Phone:919-656-3426
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-31
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty