Provider Demographics
NPI:1578081972
Name:MELFI, JONI ANN (LPCA, NCC)
Entity Type:Individual
Prefix:
First Name:JONI
Middle Name:ANN
Last Name:MELFI
Suffix:
Gender:F
Credentials:LPCA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6179 WALKING STICK WAY
Mailing Address - Street 2:
Mailing Address - City:FORT BENNING
Mailing Address - State:GA
Mailing Address - Zip Code:31905-7903
Mailing Address - Country:US
Mailing Address - Phone:410-916-2969
Mailing Address - Fax:
Practice Address - Street 1:6179 WALKING STICK WAY
Practice Address - Street 2:
Practice Address - City:FORT BENNING
Practice Address - State:GA
Practice Address - Zip Code:31905-7903
Practice Address - Country:US
Practice Address - Phone:410-916-2969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-06
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA13216101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional