Provider Demographics
NPI:1942736665
Name:HUDSON, MELISSA (PHD (C), LMFT)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:HUDSON
Suffix:
Gender:F
Credentials:PHD (C), LMFT
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:HUDSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:6209 PALOMINO DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-6030
Mailing Address - Country:US
Mailing Address - Phone:214-235-8175
Mailing Address - Fax:
Practice Address - Street 1:5550 DEMOCRACY DRIVE
Practice Address - Street 2:SUITE 150
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024
Practice Address - Country:US
Practice Address - Phone:214-235-9185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-02
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202050106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist