Provider Demographics
NPI:1336540202
Name:PAYNE, MELISSA JOY (LPC-MHSP)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:JOY
Last Name:PAYNE
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 4TH AVE S
Mailing Address - Street 2:SUITE 205
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-4602
Mailing Address - Country:US
Mailing Address - Phone:615-745-9161
Mailing Address - Fax:
Practice Address - Street 1:108 4TH AVE S
Practice Address - Street 2:SUITE 205
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-4602
Practice Address - Country:US
Practice Address - Phone:615-745-9161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-10
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2827101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health