Provider Demographics
NPI:1376869578
Name:PARSONS, MELISSA M (LPC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:M
Last Name:PARSONS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:M
Other - Last Name:STUPAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:166 NEWPORT AVE
Mailing Address - Street 2:
Mailing Address - City:NAZARETH
Mailing Address - State:PA
Mailing Address - Zip Code:18064-1153
Mailing Address - Country:US
Mailing Address - Phone:610-703-8355
Mailing Address - Fax:610-708-9005
Practice Address - Street 1:1 E BROAD ST # 1096
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-5913
Practice Address - Country:US
Practice Address - Phone:610-708-9005
Practice Address - Fax:610-708-9005
Is Sole Proprietor?:No
Enumeration Date:2010-04-13
Last Update Date:2020-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
PAPC007050101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor