Provider Demographics
NPI:1508005679
Name:COTTER, MELANIE (MA, LPC)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:COTTER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:
Other - Last Name:WOLDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:5850 TOWN AND COUNTRY BLVD STE 801
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-6953
Mailing Address - Country:US
Mailing Address - Phone:972-922-9831
Mailing Address - Fax:214-387-8120
Practice Address - Street 1:5850 TOWN AND COUNTRY BLVD STE 801
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-6953
Practice Address - Country:US
Practice Address - Phone:972-922-9831
Practice Address - Fax:214-387-8120
Is Sole Proprietor?:No
Enumeration Date:2009-02-13
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62297101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional