Provider Demographics
NPI:1417159302
Name:BATTENHOUSE, MELANNE LOUISE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MELANNE
Middle Name:LOUISE
Last Name:BATTENHOUSE
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 1:1034 S JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-5016
Mailing Address - Country:US
Mailing Address - Phone:303-918-6220
Mailing Address - Fax:303-757-2795
Practice Address - Street 1:494 SHERIDAN BLVD
Practice Address - Street 2:SUITE #A201
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80226-8106
Practice Address - Country:US
Practice Address - Phone:303-756-9746
Practice Address - Fax:303-757-2795
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3500101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA7699753OtherAETNA
11556953OtherCOUNCIL FOR AFFORDABLE QU