Provider Demographics
NPI:1376791145
Name:MELE, LORI LEE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:LEE
Last Name:MELE
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 1:46 MAIN STREET SUITE 201
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-1910
Mailing Address - Country:US
Mailing Address - Phone:201-841-3270
Mailing Address - Fax:
Practice Address - Street 1:46 MAIN STREET SUITE 201
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-1910
Practice Address - Country:US
Practice Address - Phone:201-841-3270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-04
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00404000101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional