Provider Demographics
NPI:1164715140
Name:COVER, MELISSA LEE (LPC-S)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:LEE
Last Name:COVER
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2619 COMMERCE BLVD
Mailing Address - Street 2:CAPITOL CARE SOUTH
Mailing Address - City:IRONDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35210-1211
Mailing Address - Country:US
Mailing Address - Phone:205-956-2000
Mailing Address - Fax:205-876-1016
Practice Address - Street 1:2619 COMMERCE BLVD
Practice Address - Street 2:CAPITOL CARE SOUTH
Practice Address - City:IRONDALE
Practice Address - State:AL
Practice Address - Zip Code:35210-1211
Practice Address - Country:US
Practice Address - Phone:205-956-2000
Practice Address - Fax:205-876-1016
Is Sole Proprietor?:No
Enumeration Date:2011-05-24
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2170101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health