Individual provider · Type 1 NPI

Kisha Nicole Bazelais, PhD

Counseling Psychologist · St. Petersburg, FL

NPI number 1841637063 Active

Practice location

7901 4th St N # 8939
St. Petersburg, FL 33702-4305

Mailing address

9621 W Elm Ln
Miramar, FL 33025-2328

Specialties and licenses

TaxonomyCodeLicense
Counseling Psychologist 103TC1900X020128 (NY)
Adult Development & Aging Psychologist 103TA0700X020128 (NY)
Counseling Psychologist Primary 103TC1900XPY9272 (FL)

Counseling Psychologist: A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as…

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About NPI 1841637063

Kisha Nicole Bazelais, PhD's National Provider Identifier is 1841637063, issued on May 29, 2013. The primary taxonomy on file is Counseling Psychologist (103TC1900X), and the practice location is in St. Petersburg, FL. The record was last updated on May 30, 2025.