Provider Demographics
NPI:1114677408
Name:MELCHER, ALLYSON HELEN (NCC)
Entity Type:Individual
Prefix:
First Name:ALLYSON
Middle Name:HELEN
Last Name:MELCHER
Suffix:
Gender:F
Credentials:NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2929 OLD FRANKLIN RD APT 516
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-3143
Mailing Address - Country:US
Mailing Address - Phone:631-255-9950
Mailing Address - Fax:
Practice Address - Street 1:2000 GLEN ECHO RD STE 101
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2857
Practice Address - Country:US
Practice Address - Phone:615-457-8585
Practice Address - Fax:615-457-8595
Is Sole Proprietor?:No
Enumeration Date:2022-03-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1624905101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health