Provider Demographics
NPI:1093989022
Name:SCHMIDT, MELISSA LYNN (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:LYNN
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:LYNN
Other - Last Name:LACY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:660 N CREEK DR
Mailing Address - Street 2:P.O. BOX 365
Mailing Address - City:FESTUS
Mailing Address - State:MO
Mailing Address - Zip Code:63028-2632
Mailing Address - Country:US
Mailing Address - Phone:636-937-7727
Mailing Address - Fax:
Practice Address - Street 1:660 N CREEK DR
Practice Address - Street 2:
Practice Address - City:FESTUS
Practice Address - State:MO
Practice Address - Zip Code:63028-2632
Practice Address - Country:US
Practice Address - Phone:636-937-7727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005009379101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health