Most Relevant Information
Provider Data
| NPI Number: | 1003004557 |
| Provider Name: | ERIC SCOTT BAILE M.DIV., MAC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/10/2007 |
| Last Updated: | 10/10/2007 |
Provider Practice Location
763 S NEW BALLAS RD
SUITE 340
SAINT LOUIS
MO
631418704
Practice Location Phone/Fax
| Phone: | 3148722972 |
| Fax: | 3148722975 |
Provider Mailing Location
763 S NEW BALLAS RD
SUITE 340
SAINT LOUIS
MO
631418704
Provider Mailing Phone/Fax
| Phone: | 3148722972 |
| Fax: | 3148722975 |