Provider Demographics
NPI:1497386007
Name:ONEILL, MELANIE L (PLPC)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:L
Last Name:ONEILL
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3525 PRYTANIA ST STE 512
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-8115
Mailing Address - Country:US
Mailing Address - Phone:504-896-1000
Mailing Address - Fax:504-896-1055
Practice Address - Street 1:3525 PRYTANIA ST STE 512
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-8115
Practice Address - Country:US
Practice Address - Phone:504-896-1000
Practice Address - Fax:504-896-1055
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-01
Last Update Date:2021-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7640101YP2500X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional