Provider Demographics
NPI:1023469301
Name:TOOLES, MELISSA KAYE (LPCMH, NCC, MCC, MED)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:KAYE
Last Name:TOOLES
Suffix:
Gender:F
Credentials:LPCMH, NCC, MCC, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2040 SYCAMORE CT
Mailing Address - Street 2:UNIT 4
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-7975
Mailing Address - Country:US
Mailing Address - Phone:410-262-3058
Mailing Address - Fax:
Practice Address - Street 1:2040 SYCAMORE CT
Practice Address - Street 2:UNIT 4
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-7975
Practice Address - Country:US
Practice Address - Phone:410-262-3058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-28
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC0000748101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional