Provider Demographics
NPI:1457591117
Name:MELARO BEHAVIORAL CONSULTANTS INC
Entity Type:Organization
Organization Name:MELARO BEHAVIORAL CONSULTANTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:K
Authorized Official - Last Name:MELARO
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APN, FPMHNP-BC
Authorized Official - Phone:731-608-3531
Mailing Address - Street 1:225 W SIXTH ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:TN
Mailing Address - Zip Code:38340-1515
Mailing Address - Country:US
Mailing Address - Phone:731-608-3531
Mailing Address - Fax:
Practice Address - Street 1:225 W SIXTH ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:TN
Practice Address - Zip Code:38340-1515
Practice Address - Country:US
Practice Address - Phone:731-608-3531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-20
Last Update Date:2015-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000006039261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)