Provider Demographics
NPI:1164897716
Name:BECK, MELANIE CODERRE (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:CODERRE
Last Name:BECK
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:CODERRE
Other - Last Name:DESROSIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:71 BOARDMAN RD
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-4216
Mailing Address - Country:US
Mailing Address - Phone:845-218-1162
Mailing Address - Fax:
Practice Address - Street 1:137 N CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:NEW PALTZ
Practice Address - State:NY
Practice Address - Zip Code:12561-1023
Practice Address - Country:US
Practice Address - Phone:845-419-0850
Practice Address - Fax:845-419-0852
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-08
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYLIMITED PERMIT101YM0800X
NY008533-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health