Provider Demographics
NPI:1619251493
Name:MELTON, KELSEE MARIE (LPC-I)
Entity Type:Individual
Prefix:
First Name:KELSEE
Middle Name:MARIE
Last Name:MELTON
Suffix:
Gender:F
Credentials:LPC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 VINCENT ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77009-5436
Mailing Address - Country:US
Mailing Address - Phone:832-600-3356
Mailing Address - Fax:
Practice Address - Street 1:14760 MEMORIAL DR STE 207
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-5232
Practice Address - Country:US
Practice Address - Phone:832-600-3356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional