Provider Demographics
NPI:1669637534
Name:STEER, MELISSA TOM
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:TOM
Last Name:STEER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 14245
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76094-1245
Mailing Address - Country:US
Mailing Address - Phone:817-265-1221
Mailing Address - Fax:
Practice Address - Street 1:1125 W ABRAM ST
Practice Address - Street 2:STE.104
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-6987
Practice Address - Country:US
Practice Address - Phone:817-265-1221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-21
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62280101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health