Provider Demographics
NPI:1235847203
Name:MELANIO, MORGAN SHEPARD (LCPC-C)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:SHEPARD
Last Name:MELANIO
Suffix:
Gender:F
Credentials:LCPC-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 SUNSET RD
Mailing Address - Street 2:
Mailing Address - City:DEER ISLE
Mailing Address - State:ME
Mailing Address - Zip Code:04627-3805
Mailing Address - Country:US
Mailing Address - Phone:207-812-8146
Mailing Address - Fax:
Practice Address - Street 1:9 FIELD STREET
Practice Address - Street 2:SUITE # 219 THE BELFAST CENTER
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915
Practice Address - Country:US
Practice Address - Phone:207-505-6082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-09
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health