Provider Demographics
NPI:1689940306
Name:ALEXANDER, MELANIE (LMHC, NCC, CAP)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:LMHC, NCC, CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 SAILFISH CIR
Mailing Address - Street 2:
Mailing Address - City:DESTIN
Mailing Address - State:FL
Mailing Address - Zip Code:32541-2249
Mailing Address - Country:US
Mailing Address - Phone:850-619-0143
Mailing Address - Fax:833-208-6587
Practice Address - Street 1:120 BENNING DR STE 1
Practice Address - Street 2:
Practice Address - City:DESTIN
Practice Address - State:FL
Practice Address - Zip Code:32541-2432
Practice Address - Country:US
Practice Address - Phone:850-619-0143
Practice Address - Fax:833-208-6587
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-27
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10945101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health