Provider Demographics
NPI:1518247451
Name:ZEILMAN, MICHELLE (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:ZEILMAN
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3473 SAINT WILLIAMS LN
Mailing Address - Street 2:
Mailing Address - City:SAINT ANN
Mailing Address - State:MO
Mailing Address - Zip Code:63074-2931
Mailing Address - Country:US
Mailing Address - Phone:314-429-4522
Mailing Address - Fax:
Practice Address - Street 1:7401 FLORISSANT RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63121-4835
Practice Address - Country:US
Practice Address - Phone:314-261-6011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-23
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005041288101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional