Provider Demographics
NPI:1851601769
Name:LITWILLER, MELISSA E (MA, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:E
Last Name:LITWILLER
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 NEIGHBORS LANE
Mailing Address - Street 2:5293
Mailing Address - City:BUENA VISTA
Mailing Address - State:CO
Mailing Address - Zip Code:81211-5293
Mailing Address - Country:US
Mailing Address - Phone:757-620-6854
Mailing Address - Fax:
Practice Address - Street 1:28350 COUNTY ROAD 317 UNIT 11
Practice Address - Street 2:
Practice Address - City:BUENA VISTA
Practice Address - State:CO
Practice Address - Zip Code:81211-9261
Practice Address - Country:US
Practice Address - Phone:435-250-3510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-13
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0005530101YP2500X
UT7739728-6004101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT77397286004OtherUTAH LPC - SEE BELOW
AZLPC-17813OtherARIZONA LPC
COLPC.0005530OtherCOLORADO LPC