Provider Demographics
NPI:1407471469
Name:FLORES, MELISSA MARIA (LMFT)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:MARIA
Last Name:FLORES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:749 FDR DR APT 13H
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-5613
Mailing Address - Country:US
Mailing Address - Phone:646-578-0545
Mailing Address - Fax:
Practice Address - Street 1:749 FDR DR APT 13H
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-5613
Practice Address - Country:US
Practice Address - Phone:646-578-0545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-15
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP104983106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist