V Michela Bailey, MA, LPC

Individual provider Active NPI Professional Counselor · Saint Louis, MO

NPI 1780898221 · NPPES record last updated May 19, 2023

Key facts

NPI
1780898221
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
CS002792 (MO)
Practice address
140 Prospect Ave Ste M
Saint Louis, MO 63122-6024
Phone
(314) 471-9663
Fax
(636) 527-9556
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CS002792MOMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CS002792 MO Yes

Addresses

Primary practice location

140 Prospect Ave Ste M
Saint Louis, MO 63122-6024

Mailing address

PO Box 31546
Des Peres, MO 63131-0546
Phone (314) 471-9663

Other providers in Saint Louis, MO

All providers in Saint Louis, MO · Professional Counselor in Missouri

Sources for this page

Verify at the official NPI Registry.