Provider Demographics
NPI:1093582462
Name:MELISSA ESTES LMFT
Entity Type:Organization
Organization Name:MELISSA ESTES LMFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:ESTES
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:309-733-7500
Mailing Address - Street 1:1225 E RIVER DR STE 315
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52803-5774
Mailing Address - Country:US
Mailing Address - Phone:309-733-7500
Mailing Address - Fax:
Practice Address - Street 1:1225 E RIVER DR STE 315
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52803-5774
Practice Address - Country:US
Practice Address - Phone:309-733-7500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-06
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty