IndividualActive
Elise Bagley, LMFT
NPI 1396977088 · Marriage & Family Therapist · Laurel, MS
Provider details
- NPI number
- 1396977088
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- LMFT
- Sex
- Female
- Sole proprietor
- No
- License
- T0067 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
15 Village Park Dr
Laurel, MS 39443-9063
Phone: (601) 705-1901
Approximate (ZIP-level) locationGet directions
Mailing address
15 Village Park Dr
Laurel, MS 39443-9063
Registry dates
- Enumerated
- 2009-08-14
- Last updated
- 2009-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.