Provider Demographics
NPI:1013280270
Name:EPP, MELANIE DAWN (LPC, LMFT, RPT-S)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:DAWN
Last Name:EPP
Suffix:
Gender:F
Credentials:LPC, LMFT, RPT-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3505 MARQUETTE DR
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-8736
Mailing Address - Country:US
Mailing Address - Phone:940-594-7474
Mailing Address - Fax:940-321-3920
Practice Address - Street 1:2485 E SOUTHLAKE BLVD
Practice Address - Street 2:220
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-6686
Practice Address - Country:US
Practice Address - Phone:940-594-7474
Practice Address - Fax:940-321-3920
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-20
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10252101YP2500X
TX2712106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist