Provider Demographics
NPI:1285021998
Name:MELE, ZONDRA RASHELL (LPC)
Entity Type:Individual
Prefix:MS
First Name:ZONDRA
Middle Name:RASHELL
Last Name:MELE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 CAYMEN CT
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:GA
Mailing Address - Zip Code:30907-1423
Mailing Address - Country:US
Mailing Address - Phone:706-627-1083
Mailing Address - Fax:
Practice Address - Street 1:145 CAYMEN CT
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:GA
Practice Address - Zip Code:30907-1423
Practice Address - Country:US
Practice Address - Phone:706-627-1083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-20
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC008368101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor