Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mya Marie Badillo

Individual provider Mental Health Counselor · NPI 1104660489

Mya Marie Badillo is a Mental Health Counselor in Prior Lake, Minnesota. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

3733 Fox Tail Trl NW
Prior Lake, MN 55372-1698
Phone: (612) 438-9204
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1104660489
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 21, 2024
Last updated in NPPESJune 21, 2024
Certification dateJune 21, 2024
Mailing address3733 Fox Tail Trl Nw, Prior Lake, MN 55372-1698

Other providers in Prior Lake