Provider Demographics
NPI:1114310133
Name:COCHRAN, MELISSA NOEL (LCSW)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:NOEL
Last Name:COCHRAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 US-65
Mailing Address - Street 2:
Mailing Address - City:DUMAS
Mailing Address - State:AR
Mailing Address - Zip Code:71639
Mailing Address - Country:US
Mailing Address - Phone:870-382-4303
Mailing Address - Fax:870-382-4303
Practice Address - Street 1:811 US-65
Practice Address - Street 2:
Practice Address - City:DUMAS
Practice Address - State:AR
Practice Address - Zip Code:71639
Practice Address - Country:US
Practice Address - Phone:870-382-4303
Practice Address - Fax:870-382-4303
Is Sole Proprietor?:No
Enumeration Date:2015-03-16
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR12433-C104100000X
UT6439805-3502104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker