Provider Demographics
NPI:1053858647
Name:MCGEE, MELISSA (LPC-S)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:
Last Name:MCGEE
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4606 SAILBOAT DR
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-6745
Mailing Address - Country:US
Mailing Address - Phone:817-808-6508
Mailing Address - Fax:
Practice Address - Street 1:5628 SW GREEN OAKS BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-1162
Practice Address - Country:US
Practice Address - Phone:817-478-0855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-20
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60762101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional