Provider Demographics
NPI:1295585008
Name:MELFI, KATRYN (LPC-A)
Entity type:Individual
Prefix:
First Name:KATRYN
Middle Name:
Last Name:MELFI
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1204 COPPER CRK
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76549-5194
Mailing Address - Country:US
Mailing Address - Phone:518-281-0729
Mailing Address - Fax:
Practice Address - Street 1:3055 STILLHOUSE LAKE RD STE 206
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-8861
Practice Address - Country:US
Practice Address - Phone:254-813-4357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-25
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX94638101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health