Provider Demographics
NPI:1285030510
Name:ALLEYNE, MELINDA (TCM)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:
Last Name:ALLEYNE
Suffix:
Gender:F
Credentials:TCM
Other - Prefix:
Other - First Name:MELINDA
Other - Middle Name:
Other - Last Name:BARTLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12310 W 79TH TER
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-2604
Mailing Address - Country:US
Mailing Address - Phone:913-271-4285
Mailing Address - Fax:913-904-9647
Practice Address - Street 1:12310 W 79TH TER
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-2604
Practice Address - Country:US
Practice Address - Phone:913-271-4285
Practice Address - Fax:913-904-9647
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-13
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management