Provider Demographics
NPI:1942735204
Name:REESE, MELANIE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:
Last Name:REESE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1222 16TH AVE S
Mailing Address - Street 2:SUITE 24
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-2926
Mailing Address - Country:US
Mailing Address - Phone:615-504-8337
Mailing Address - Fax:
Practice Address - Street 1:1222 16TH AVE S
Practice Address - Street 2:SUITE 24
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-2926
Practice Address - Country:US
Practice Address - Phone:615-504-8337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-25
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN958106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist