Provider Demographics
NPI:1568223816
Name:WORLEY, MELISSA (LPC-ASSOCIATE, MED)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:WORLEY
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14275 MIDWAY RD STE 200
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-3618
Mailing Address - Country:US
Mailing Address - Phone:214-865-8634
Mailing Address - Fax:
Practice Address - Street 1:14275 MIDWAY RD STE 200
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-3618
Practice Address - Country:US
Practice Address - Phone:214-865-8634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88298101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselor