Healthcare Provider Details

I. General information

NPI: 1003745316
Provider Name (Legal Business Name): EMILY WESLEY PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 N CLAY AVE UNIT 215
SAINT LOUIS MO
63122-4068
US

IV. Provider business mailing address

2420 HOLLISTER CROSSING CT
WILDWOOD MO
63011-1954
US

V. Phone/Fax

Practice location:
  • Phone: 314-397-3292
  • Fax:
Mailing address:
  • Phone: 314-397-3292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: