Provider Demographics
NPI:1700531282
Name:MORIN, MELINDA MICHELLE
Entity Type:Individual
Prefix:MS
First Name:MELINDA
Middle Name:MICHELLE
Last Name:MORIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1709 S 77 SUNSHINESTRIP STE B
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8121
Mailing Address - Country:US
Mailing Address - Phone:956-230-2002
Mailing Address - Fax:956-622-3933
Practice Address - Street 1:1709 S 77 SUNSHINESTRIP STE B
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8121
Practice Address - Country:US
Practice Address - Phone:956-789-2609
Practice Address - Fax:956-622-3933
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-14
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61122104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker