Bagley, Elise

Bagley, Elise is an individual health care provider with primary practice located at 15 Village Park Dr , Laurel MS 39443-9063. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Bagley, Elise can be contacted via phone (601) 705-1901.

Contact Information

Primary practice address
15 Village Park Dr Laurel MS 39443-9063
Phone: (601) 705-1901
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X T0067 Mississippi

Profile Details

NPI number 1396977088
LBN Legal business name Bagley, Elise
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2009
Last updated Aug 14th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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