Provider Demographics
NPI:1619367810
Name:TOKIC, MELISSE (LMFT)
Entity Type:Individual
Prefix:
First Name:MELISSE
Middle Name:
Last Name:TOKIC
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1127 TUCKAHOE DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-1640
Mailing Address - Country:US
Mailing Address - Phone:310-266-5044
Mailing Address - Fax:
Practice Address - Street 1:1127 TUCKAHOE DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-1640
Practice Address - Country:US
Practice Address - Phone:310-266-5044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-27
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1040106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist