Provider Demographics
NPI:1093144354
Name:SENEWAY, MELISSA (MS, CAP, ICADC)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:
Last Name:SENEWAY
Suffix:
Gender:F
Credentials:MS, CAP, ICADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 10TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-3318
Mailing Address - Country:US
Mailing Address - Phone:561-833-7553
Mailing Address - Fax:561-655-5327
Practice Address - Street 1:314 10TH ST
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3318
Practice Address - Country:US
Practice Address - Phone:561-833-7553
Practice Address - Fax:561-655-5327
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-07
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5284101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)