MEDICARE: EMILY WESLEY PLPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1003745316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY WESLEY PLPC

Provider Business Mailing Address
First Line	:	2420 HOLLISTER CROSSING CT
Second Line	:
City	:	WILDWOOD
State	:	MO
Zip	:	63011-1954
Country	:	US
Telephone Number	:	314-397-3292
Fax Number	:

Provider Business Practice Location Address
First Line	:	214 N CLAY AVE UNIT 215
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63122-4068
Country	:	US
Telephone Number	:	314-397-3292
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2026
Last Update Date	:	05/14/2026

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Directions to “ EMILY WESLEY PLPC” Practice Location

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