Provider Demographics
NPI:1063666816
Name:GARCIA, MELISSA KAY (MA, LPCC-S)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:KAY
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MA, LPCC-S
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:KAY
Other - Last Name:BRANDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3333 BURNET AVE, ML 3014
Mailing Address - Street 2:CHILDRENS HOSPITAL MEDICAL CENTER
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3026
Mailing Address - Country:US
Mailing Address - Phone:513-636-4788
Mailing Address - Fax:513-636-4283
Practice Address - Street 1:3333 BURNET AVE, ML 3014
Practice Address - Street 2:CHILDRENS HOSPITAL MEDICAL CENTER
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3026
Practice Address - Country:US
Practice Address - Phone:513-636-4788
Practice Address - Fax:513-636-4283
Is Sole Proprietor?:No
Enumeration Date:2008-11-06
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0700364-SUPV101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional