Provider Demographics
NPI:1003109679
Name:BARTON, MELISSA DIANE (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:DIANE
Last Name:BARTON
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11814 AMBLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MEADOWS PLACE
Mailing Address - State:TX
Mailing Address - Zip Code:77477-1502
Mailing Address - Country:US
Mailing Address - Phone:832-372-5900
Mailing Address - Fax:
Practice Address - Street 1:5608 5TH ST
Practice Address - Street 2:# B-2
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-1914
Practice Address - Country:US
Practice Address - Phone:832-372-5900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-16
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63480101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional