Provider Demographics
NPI:1407282379
Name:ARNOLD, MELISSA (LMFT, PHD)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:LMFT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 FRANCISCA DR
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63031-4244
Mailing Address - Country:US
Mailing Address - Phone:314-250-6618
Mailing Address - Fax:
Practice Address - Street 1:315 FRANCISCA DR
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63031-4244
Practice Address - Country:US
Practice Address - Phone:314-250-6618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-23
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI351-228106H00000X
MO2019006636106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist