Provider Demographics
NPI:1073319505
Name:ST LOUIS, VICTORIA ELIZABETH (LCPC)
Entity type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:ELIZABETH
Last Name:ST LOUIS
Suffix:
Gender:
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 LOUISE ST
Mailing Address - Street 2:
Mailing Address - City:WESTBROOK
Mailing Address - State:ME
Mailing Address - Zip Code:04092-2708
Mailing Address - Country:US
Mailing Address - Phone:207-232-9436
Mailing Address - Fax:
Practice Address - Street 1:7 LOUISE ST
Practice Address - Street 2:
Practice Address - City:WESTBROOK
Practice Address - State:ME
Practice Address - Zip Code:04092-2708
Practice Address - Country:US
Practice Address - Phone:207-232-9436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC7896101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health