Provider Demographics
NPI:1356877674
Name:ROSSY, MELANY (MSCP, RMHCI)
Entity type:Individual
Prefix:MRS
First Name:MELANY
Middle Name:
Last Name:ROSSY
Suffix:
Gender:F
Credentials:MSCP, RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3284
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-3284
Mailing Address - Country:US
Mailing Address - Phone:407-917-1316
Mailing Address - Fax:
Practice Address - Street 1:9300 CONROY WINDERMERE ROAD
Practice Address - Street 2:SUITE 3284
Practice Address - City:WINDERMERE
Practice Address - State:FL
Practice Address - Zip Code:34786
Practice Address - Country:US
Practice Address - Phone:407-917-1316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-05
Last Update Date:2019-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH15822101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health