Provider Demographics
NPI:1669790762
Name:ROUNDS, MELISSA RUTH (MA, LMHC)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:RUTH
Last Name:ROUNDS
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 EXECUTIVE DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-8939
Mailing Address - Country:US
Mailing Address - Phone:239-450-1480
Mailing Address - Fax:
Practice Address - Street 1:4500 EXECUTIVE DR
Practice Address - Street 2:SUITE 105
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-8939
Practice Address - Country:US
Practice Address - Phone:239-450-1480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-13
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 10277101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health