Provider Demographics
NPI:1003276270
Name:NEAL, MELISSA DESHAUN (RSW)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:DESHAUN
Last Name:NEAL
Suffix:
Gender:F
Credentials:RSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1117 MARION HWY # 33
Mailing Address - Street 2:
Mailing Address - City:FARMERVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71241-9313
Mailing Address - Country:US
Mailing Address - Phone:318-368-2300
Mailing Address - Fax:318-982-8103
Practice Address - Street 1:1117 MARION HWY # 33
Practice Address - Street 2:
Practice Address - City:FARMERVILLE
Practice Address - State:LA
Practice Address - Zip Code:71241-9313
Practice Address - Country:US
Practice Address - Phone:318-368-2300
Practice Address - Fax:318-982-8102
Is Sole Proprietor?:No
Enumeration Date:2016-03-02
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator