Bazelais, Kisha Nicole

Bazelais, Kisha Nicole is an sole proprietor health care provider with primary practice located at 7901 4Th St N # 8939 , St Petersburg FL 33702-4305. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Adult Development & Aging. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Bazelais, Kisha Nicole can be contacted via phone (305) 676-7347.

Contact Information

Primary practice address
7901 4Th St N # 8939 St Petersburg FL 33702-4305
Phone: (305) 676-7347
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 020128 New York
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 020128 New York
Behavioral Health & Social Service Providers / Counseling 103TC1900X PY9272 Florida

Profile Details

NPI number 1841637063
LBN Legal business name Bazelais, Kisha Nicole
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2013
Last updated May 30th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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