Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edwina Bailey, RADT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1700603909

Edwina Bailey, RADT is an Addiction (Substance Use Disorder) Counselor in South Lake Tahoe, California. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2024
Specialties on file
4

Practice location Address checks out

1693 Nadowa St
South Lake Tahoe, CA 96150
Phone: (623) 889-4711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 64105 Hillside Road, Happy Camp, CA 96039 — (623) 889-4711

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LAAC-15597 (AZ)
Health Educator Taxonomy 174H00000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1700603909
Entity typeIndividual (Type 1)
GenderFemale
Credentials RADT
Sole proprietorNo
NPI enumeratedSeptember 20, 2024
Last updated in NPPESDecember 6, 2025
Certification dateDecember 6, 2025

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