Provider Demographics
NPI:1518856137
Name:BAILEY WHITEIS THERAPY SERVICES LLC
Entity type:Organization
Organization Name:BAILEY WHITEIS THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BAILEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITEIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-651-6116
Mailing Address - Street 1:4309 ELM ST
Mailing Address - Street 2:
Mailing Address - City:VAN BUREN
Mailing Address - State:AR
Mailing Address - Zip Code:72956-9013
Mailing Address - Country:US
Mailing Address - Phone:479-651-6116
Mailing Address - Fax:
Practice Address - Street 1:3220 N US-59
Practice Address - Street 2:
Practice Address - City:VAN BUREN
Practice Address - State:AR
Practice Address - Zip Code:72956
Practice Address - Country:US
Practice Address - Phone:479-262-2440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty