Provider Demographics
NPI:1346533429
Name:MELECIO, ERIKA CHRISTINA
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:CHRISTINA
Last Name:MELECIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2624 SANDLEWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32065-8938
Mailing Address - Country:US
Mailing Address - Phone:267-772-0605
Mailing Address - Fax:
Practice Address - Street 1:2624 SANDLEWOOD CIRCLE
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32065
Practice Address - Country:US
Practice Address - Phone:267-772-0605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-23
Last Update Date:2011-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health