Provider Demographics
NPI:1609539964
Name:EMERT, MELINDA ANN (MA ED)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:ANN
Last Name:EMERT
Suffix:
Gender:F
Credentials:MA ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 SPANISH MAIN DR
Mailing Address - Street 2:
Mailing Address - City:CUDJOE KEY
Mailing Address - State:FL
Mailing Address - Zip Code:33042-4333
Mailing Address - Country:US
Mailing Address - Phone:850-826-5831
Mailing Address - Fax:
Practice Address - Street 1:GUIDANCE CARE CENTER
Practice Address - Street 2:1205 4TH ST.
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-2300
Practice Address - Country:US
Practice Address - Phone:305-434-7660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-14
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)