Provider Demographics
NPI:1104660083
Name:COPELAND, MELISSA H (LPC)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:H
Last Name:COPELAND
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 IROQUOIS DR
Mailing Address - Street 2:
Mailing Address - City:ABITA SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70420-3329
Mailing Address - Country:US
Mailing Address - Phone:985-789-3720
Mailing Address - Fax:
Practice Address - Street 1:131 IROQUOIS DR
Practice Address - Street 2:
Practice Address - City:ABITA SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70420-3329
Practice Address - Country:US
Practice Address - Phone:985-789-3720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4315101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional