Provider Demographics
NPI:1578208278
Name:ROOKS, MELISSA RENEE (MA, LPC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:RENEE
Last Name:ROOKS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2451 STONE MYERS PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-4783
Mailing Address - Country:US
Mailing Address - Phone:817-906-1111
Mailing Address - Fax:
Practice Address - Street 1:2451 STONE MYERS PKWY STE 100
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-4783
Practice Address - Country:US
Practice Address - Phone:817-906-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-28
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80459101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health