Provider Demographics
NPI:1891902631
Name:ORIAN, MELINDA NM (MS, NCC, CGC)
Entity Type:Individual
Prefix:MISS
First Name:MELINDA
Middle Name:NM
Last Name:ORIAN
Suffix:
Gender:F
Credentials:MS, NCC, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17722 N 79TH AVE
Mailing Address - Street 2:#2084
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-8668
Mailing Address - Country:US
Mailing Address - Phone:623-262-6338
Mailing Address - Fax:
Practice Address - Street 1:3921 W BASELINE RD
Practice Address - Street 2:
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339-1801
Practice Address - Country:US
Practice Address - Phone:602-764-4194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool