Provider Demographics
NPI:1184916827
Name:DESFORGES, MELISSA F (LPC, LMFT, RPT)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:F
Last Name:DESFORGES
Suffix:
Gender:F
Credentials:LPC, LMFT, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44137 FORBES FARM DR
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-4774
Mailing Address - Country:US
Mailing Address - Phone:985-373-3634
Mailing Address - Fax:
Practice Address - Street 1:44137 FORBES FARM DR
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-4774
Practice Address - Country:US
Practice Address - Phone:985-373-3634
Practice Address - Fax:866-339-0569
Is Sole Proprietor?:No
Enumeration Date:2011-05-13
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA202466101YS0200X
LA1140106H00000X
LA3585101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist