Healthcare Provider Details

I. General information

NPI: 1699488767
Provider Name (Legal Business Name): EMILY C GILES LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2023
Last Update Date: 10/07/2024
Certification Date: 10/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16020 SWINGLEY RIDGE ROAD SUITE 300
CHESTERFIELD MO
63017
US

IV. Provider business mailing address

4800 N SCOTTSDALE ROAD SUITE 2500
SCOTTSDALE AZ
85251-4841
US

V. Phone/Fax

Practice location:
  • Phone: 636-681-2620
  • Fax: 636-216-1478
Mailing address:
  • Phone: 216-468-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number7985-125
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2024031901
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: