Provider Demographics
NPI:1003284043
Name:FISHELL, MELISSA (LMFT, ATR)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:FISHELL
Suffix:
Gender:F
Credentials:LMFT, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5310 DTC PKWY STE I
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-3010
Mailing Address - Country:US
Mailing Address - Phone:720-334-7459
Mailing Address - Fax:
Practice Address - Street 1:5310 DTC PKWY STE I
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-3010
Practice Address - Country:US
Practice Address - Phone:720-334-7459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-08
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0002082106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty