Provider Demographics
NPI:1497210843
Name:SYKES, MELISSA MARY (LPC, CSAC, ATR)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:MARY
Last Name:SYKES
Suffix:
Gender:F
Credentials:LPC, CSAC, ATR
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:AVANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, CSAC, ATR
Mailing Address - Street 1:435 VIRGINIAN DR
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23505-4240
Mailing Address - Country:US
Mailing Address - Phone:757-630-5624
Mailing Address - Fax:757-585-3521
Practice Address - Street 1:821 W 21ST ST STE 209
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23517-1500
Practice Address - Country:US
Practice Address - Phone:757-578-5493
Practice Address - Fax:757-585-3521
Is Sole Proprietor?:No
Enumeration Date:2019-02-08
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 101Y00000X
VA0710103231101YA0400X
VA18-017221700000X
VA0701008469101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist