Provider Demographics
NPI:1922046812
Name:MESSINA, MELINDA (LMHC)
Entity Type:Individual
Prefix:MS
First Name:MELINDA
Middle Name:
Last Name:MESSINA
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 1:43 BARKLEY CIR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-4510
Mailing Address - Country:US
Mailing Address - Phone:239-939-4566
Mailing Address - Fax:
Practice Address - Street 1:1400 COLONIAL BLVD
Practice Address - Street 2:SUITE 253
Practice Address - City:FT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-1055
Practice Address - Country:US
Practice Address - Phone:239-939-4566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-03
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFLMH3747101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFLMH3747OtherLICENSE