Provider Demographics
NPI:1629007513
Name:MEARNS, MELINDA M (MS)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:M
Last Name:MEARNS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2619 COMMERCE BLVD
Mailing Address - Street 2:
Mailing Address - City:IRONDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35210-1211
Mailing Address - Country:US
Mailing Address - Phone:205-956-2000
Mailing Address - Fax:
Practice Address - Street 1:2619 COMMERCE BLVD
Practice Address - Street 2:
Practice Address - City:IRONDALE
Practice Address - State:AL
Practice Address - Zip Code:35210-1211
Practice Address - Country:US
Practice Address - Phone:205-956-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL330034005OtherMEDICAID REHAB