Provider Demographics
NPI:1336320977
Name:PHARR, MELANIE (LPC)
Entity Type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:
Last Name:PHARR
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 1:501 E UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-2118
Mailing Address - Country:US
Mailing Address - Phone:337-256-1868
Mailing Address - Fax:337-704-2130
Practice Address - Street 1:501 E UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2118
Practice Address - Country:US
Practice Address - Phone:337-256-1868
Practice Address - Fax:337-704-2130
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-26
Last Update Date:2009-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3549101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor