Provider Demographics
NPI:1639341613
Name:MCNEIL-PLEASANT, MELISSA (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:
Last Name:MCNEIL-PLEASANT
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02302-1819
Mailing Address - Country:US
Mailing Address - Phone:508-588-7249
Mailing Address - Fax:
Practice Address - Street 1:98 NORTH AVE
Practice Address - Street 2:98 NORTH AVE
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02302-1819
Practice Address - Country:US
Practice Address - Phone:508-588-7249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-30
Last Update Date:2008-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA408932101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health