Provider Demographics
NPI:1922790492
Name:SIKS, MELINDA DAWN (MA, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:DAWN
Last Name:SIKS
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:MRS
Other - First Name:MINDY
Other - Middle Name:
Other - Last Name:SIKS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LMHC
Mailing Address - Street 1:6820 HANSON RD
Mailing Address - Street 2:
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-7940
Mailing Address - Country:US
Mailing Address - Phone:509-929-5554
Mailing Address - Fax:
Practice Address - Street 1:6820 HANSON RD
Practice Address - Street 2:
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-7940
Practice Address - Country:US
Practice Address - Phone:509-929-5554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMHC.LH.00004414101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty