Provider Demographics
NPI:1871190090
Name:MMG COUNSELING LLC
Entity Type:Organization
Organization Name:MMG COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:MECCA GREGORY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:570-780-4505
Mailing Address - Street 1:1265 DECEMBER DR
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18505-4351
Mailing Address - Country:US
Mailing Address - Phone:570-780-4505
Mailing Address - Fax:
Practice Address - Street 1:1416 MONROE AVE STE 204
Practice Address - Street 2:
Practice Address - City:DUNMORE
Practice Address - State:PA
Practice Address - Zip Code:18509-2477
Practice Address - Country:US
Practice Address - Phone:570-780-4505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-01
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty