Provider Demographics
NPI:1235722570
Name:KMEC-MELI, JESSICA FELICITY (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:FELICITY
Last Name:KMEC-MELI
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MRS
Other - First Name:JESSICA
Other - Middle Name:FELICITY
Other - Last Name:KMEC-MELI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:8314 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-2908
Mailing Address - Country:US
Mailing Address - Phone:917-715-8713
Mailing Address - Fax:
Practice Address - Street 1:8314 10TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-2908
Practice Address - Country:US
Practice Address - Phone:917-715-8713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-17
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NY101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health