Provider Demographics
NPI:1720152481
Name:STRONG-LEMIRE, MELISSA (MS, LPC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:STRONG-LEMIRE
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:LEMIRE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, LPC
Mailing Address - Street 1:3560 MEDALLION RD
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-7723
Mailing Address - Country:US
Mailing Address - Phone:719-377-2305
Mailing Address - Fax:
Practice Address - Street 1:3560 MEDALLION RD
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-7723
Practice Address - Country:US
Practice Address - Phone:719-377-2305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC-3714101YM0800X
COL-157849174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health