Provider Demographics
NPI:1790442481
Name:MELENDEZ, ERIKA MICHELLE (LMFT)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:MICHELLE
Last Name:MELENDEZ
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:MICHELLE
Other - Last Name:COLLIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1718 22ND ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-3910
Mailing Address - Country:US
Mailing Address - Phone:661-428-4127
Mailing Address - Fax:
Practice Address - Street 1:5001 E COMMERCECENTER DR STE 255
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-1660
Practice Address - Country:US
Practice Address - Phone:661-428-4127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-17
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA127237106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist