Provider Demographics
NPI:1467478347
Name:POLLARD, MELODY J (LPCC)
Entity Type:Individual
Prefix:MRS
First Name:MELODY
Middle Name:J
Last Name:POLLARD
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 BURKESVILLE STREET
Mailing Address - Street 2:STE 111
Mailing Address - City:COLUMBIA
Mailing Address - State:KY
Mailing Address - Zip Code:42728
Mailing Address - Country:US
Mailing Address - Phone:270-384-1198
Mailing Address - Fax:270-384-1195
Practice Address - Street 1:203 BURKESVILLE STREET
Practice Address - Street 2:STE 111
Practice Address - City:COLUMBIA
Practice Address - State:KY
Practice Address - Zip Code:42728
Practice Address - Country:US
Practice Address - Phone:270-384-1198
Practice Address - Fax:270-384-1195
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0537101YA0400X
KY0453101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health