Provider Demographics
NPI:1285815696
Name:MELERINE, RAY (LPC, LMFT, RPT-S)
Entity Type:Individual
Prefix:MR
First Name:RAY
Middle Name:
Last Name:MELERINE
Suffix:
Gender:M
Credentials:LPC, LMFT, RPT-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4957 BIG LAKE RD
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70605-6739
Mailing Address - Country:US
Mailing Address - Phone:337-477-0708
Mailing Address - Fax:337-477-0508
Practice Address - Street 1:4957 BIG LAKE RD
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605-6739
Practice Address - Country:US
Practice Address - Phone:337-477-0708
Practice Address - Fax:337-477-0508
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-14
Last Update Date:2013-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2799101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional