Provider Demographics
NPI:1245875442
Name:BIAS, MELISSA L (MS, PLPC)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:L
Last Name:BIAS
Suffix:
Gender:F
Credentials:MS, PLPC
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:L
Other - Last Name:EDWARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:124B BAILEY CIR
Mailing Address - Street 2:
Mailing Address - City:ROGERSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65742-7843
Mailing Address - Country:US
Mailing Address - Phone:417-830-9834
Mailing Address - Fax:
Practice Address - Street 1:124B BAILEY CIR
Practice Address - Street 2:
Practice Address - City:ROGERSVILLE
Practice Address - State:MO
Practice Address - Zip Code:65742-7843
Practice Address - Country:US
Practice Address - Phone:417-830-9834
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-12
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020015203101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0000Medicaid