Provider Demographics
NPI:1790132686
Name:WADSLEY, MELINDA (LMHC, NCC)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:
Last Name:WADSLEY
Suffix:
Gender:F
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6139 US HIGHWAY 69
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-9213
Mailing Address - Country:US
Mailing Address - Phone:319-665-2008
Mailing Address - Fax:515-212-7819
Practice Address - Street 1:6139 US HIGHWAY 69
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-9213
Practice Address - Country:US
Practice Address - Phone:319-665-2008
Practice Address - Fax:515-212-7819
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-20
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA077508101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health