Provider Demographics
NPI:1861827800
Name:ALVINO, MELISSA ANNA JOAN (LMHC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANNA JOAN
Last Name:ALVINO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 INDIANA AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-1208
Mailing Address - Country:US
Mailing Address - Phone:617-750-2614
Mailing Address - Fax:
Practice Address - Street 1:28 INDIANA AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-1208
Practice Address - Country:US
Practice Address - Phone:617-750-2614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-10
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008310101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health