Provider Demographics
NPI:1497346266
Name:BAREFIELD, MELANIE (LPC, LMFT)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:BAREFIELD
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 SWISS AVE APT 114
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-6415
Mailing Address - Country:US
Mailing Address - Phone:505-660-9218
Mailing Address - Fax:
Practice Address - Street 1:3900 SWISS AVE APT 114
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-6415
Practice Address - Country:US
Practice Address - Phone:505-660-9218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-03
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMFT001622101YM0800X
GALPC010131101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health