Provider Demographics
NPI:1982628822
Name:SANTOS, MELISSA M (LMHC)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:M
Last Name:SANTOS
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 1:96 BRIGGS ST
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-4806
Mailing Address - Country:US
Mailing Address - Phone:774-218-3492
Mailing Address - Fax:888-920-2153
Practice Address - Street 1:145 GLOBE ST STE 1B
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02724-1323
Practice Address - Country:US
Practice Address - Phone:774-218-3492
Practice Address - Fax:888-920-2153
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor