Provider Demographics
NPI:1972188662
Name:MELANIN COACHING & COUNSELING, INC.
Entity Type:Organization
Organization Name:MELANIN COACHING & COUNSELING, INC.
Other - Org Name:MELANIN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CAREY
Authorized Official - Middle Name:FERDINAND
Authorized Official - Last Name:LASHLEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:LPC
Authorized Official - Phone:510-274-9273
Mailing Address - Street 1:13130 ROYAL BELL CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77047-2524
Mailing Address - Country:US
Mailing Address - Phone:510-274-9273
Mailing Address - Fax:
Practice Address - Street 1:13130 ROYAL BELL CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77047-2524
Practice Address - Country:US
Practice Address - Phone:510-274-9273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-14
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center