Provider Demographics
NPI:1295213809
Name:BOVA, MELANIE (LCMHC)
Entity Type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:
Last Name:BOVA
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 POUND RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:NH
Mailing Address - Zip Code:03849-5857
Mailing Address - Country:US
Mailing Address - Phone:603-651-5019
Mailing Address - Fax:
Practice Address - Street 1:90 ODELL HILL RD
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:NH
Practice Address - Zip Code:03818-4401
Practice Address - Country:US
Practice Address - Phone:603-651-5019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-06
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2459101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health