MEDICARE: MY BLUE SKIES LLC

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1720844756
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MY BLUE SKIES LLC

Provider Business Mailing Address
First Line	:	7218 TALL OAK CT
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63129-5650
Country	:	US
Telephone Number	:	314-546-6920
Fax Number	:

Provider Business Practice Location Address
First Line	:	2026 S BIG BEND BLVD
Second Line	:
City	:	RICHMOND HEIGHTS
State	:	MO
Zip	:	63117-2404
Country	:	US
Telephone Number	:	314-375-6475
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. SUSAN IGNAZITO-WILHELM
Credential	:	LPC
Telephone Number	:	314-546-6920

Provider Enumeration Date	:	02/27/2024
Last Update Date	:	02/27/2024

Similar Medicare Providers

1053005173 — MR. GRAYSON ROSEN LPC
Practice Location Address:

2026 S BIG BEND BLVD
RICHMOND HEIGHTS, MO
63117-2404

Practice Phone: 314-530-8961
Practice Fax:

1538600507 — KELLY PITTMAN LCSW
Practice Location Address:

2026 S BIG BEND BLVD
SAINT LOUIS, MO
63117-2404

Practice Phone: 314-502-9460
Practice Fax:

1366715484 — SOUTHERN CALIFORNIA BEHAVIORAL COUNSELING
Practice Location Address:

1507 ANNADEL AVE , TRUE
ROWLAND HEIGHTS, CA
91748-2404

Practice Phone: 626-789-9400
Practice Fax:

1831549153 — FRANCIA HELENA JIMENEZ SLP
Practice Location Address:

4431 HOLIDAY HEIGHTS DR
OAKWOOD, GA
30566-2404

Practice Phone: 770-633-1766
Practice Fax:

1386181055 — PROF. MARVIN MEDOW PH.D.
Practice Location Address:

2992 CLEARVIEW ST
YORKTOWN HEIGHTS, NY
10598-2404

Practice Phone: 914-602-6299
Practice Fax: 914-593-8890

1649774415 — DR. SAMANEH KLEOPATRA ZARABI MD
Practice Location Address:

2874 HUNTINGTON RD
SHAKER HEIGHTS, OH
44120-2404

Practice Phone: 347-221-2222
Practice Fax:

Directions to “MY BLUE SKIES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.