Provider Demographics
NPI:1770220477
Name:NEAL, MELANIE (LPC)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:NEAL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28910 LEROY COWART RD.
Mailing Address - Street 2:
Mailing Address - City:HOLDEN
Mailing Address - State:LA
Mailing Address - Zip Code:70744
Mailing Address - Country:US
Mailing Address - Phone:985-320-0655
Mailing Address - Fax:
Practice Address - Street 1:28910 LEROY COWART RD.
Practice Address - Street 2:
Practice Address - City:HOLDEN
Practice Address - State:LA
Practice Address - Zip Code:70744-7074
Practice Address - Country:US
Practice Address - Phone:985-320-0655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-16
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3634101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor