Healthcare Provider Details

I. General information

NPI: 1265352264
Provider Name (Legal Business Name): VIRTUALLY CALM GA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2505 ENTERPRISE RD
CLEARWATER FL
33763-1100
US

IV. Provider business mailing address

7901 4TH ST N STE 300
ST PETERSBURG FL
33702-4399
US

V. Phone/Fax

Practice location:
  • Phone: 407-550-7755
  • Fax: 866-422-5779
Mailing address:
  • Phone: 407-550-7755
  • Fax: 866-422-5779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: MELISSA BAILEY
Title or Position: OWNER
Credential: PSYD
Phone: 407-550-7755