Provider Demographics
NPI:1326250101
Name:WHITLING, MELISSA ANN (LPC)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:ANN
Last Name:WHITLING
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:ANN
Other - Last Name:WHITLING-WISE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:3201 STATE ROUTE 257
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:PA
Mailing Address - Zip Code:16346-2429
Mailing Address - Country:US
Mailing Address - Phone:814-319-4467
Mailing Address - Fax:
Practice Address - Street 1:3201 STATE ROUTE 257 STE 1
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:PA
Practice Address - Zip Code:16346-2429
Practice Address - Country:US
Practice Address - Phone:814-319-4467
Practice Address - Fax:814-493-8345
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004041101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional