Provider Demographics
NPI:1649048588
Name:BABION, MELISSA (MA, LPCC)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:BABION
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1355 CHERRY ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80521-3708
Mailing Address - Country:US
Mailing Address - Phone:970-690-8542
Mailing Address - Fax:
Practice Address - Street 1:1120 38TH AVE STE 5
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-2579
Practice Address - Country:US
Practice Address - Phone:720-598-2792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0021463101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health