Provider Demographics
NPI:1831722487
Name:STOLFUS, MELANIE LOU (MS, LPC)
Entity type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:LOU
Last Name:STOLFUS
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 WELLINGTON OAKS CIR
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-5571
Mailing Address - Country:US
Mailing Address - Phone:940-367-3042
Mailing Address - Fax:
Practice Address - Street 1:4344 ROCK HILL RD
Practice Address - Street 2:
Practice Address - City:AUBREY
Practice Address - State:TX
Practice Address - Zip Code:76227-6892
Practice Address - Country:US
Practice Address - Phone:940-367-3042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-21
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76243101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health