Provider Demographics
NPI:1841556610
Name:MELISSA BARTON, LPC, PLLC
Entity Type:Organization
Organization Name:MELISSA BARTON, LPC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:D
Authorized Official - Last Name:BARTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:832-372-5900
Mailing Address - Street 1:11814 AMBLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MEADOWS PLACE
Mailing Address - State:TX
Mailing Address - Zip Code:77477-1502
Mailing Address - Country:US
Mailing Address - Phone:832-372-5900
Mailing Address - Fax:
Practice Address - Street 1:5608 5TH ST
Practice Address - Street 2:#B-2
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-1914
Practice Address - Country:US
Practice Address - Phone:832-372-5900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-06
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63480101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty