Provider Demographics
NPI:1831823673
Name:MELISSA ADOLPHE MENTAL HEALTH COUNSELING
Entity type:Organization
Organization Name:MELISSA ADOLPHE MENTAL HEALTH COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADOLPHE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:845-843-1157
Mailing Address - Street 1:27 UNION RD APT E26
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-3923
Mailing Address - Country:US
Mailing Address - Phone:845-843-1157
Mailing Address - Fax:800-550-9156
Practice Address - Street 1:27 UNION RD APT E26
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-3923
Practice Address - Country:US
Practice Address - Phone:845-843-1157
Practice Address - Fax:800-550-9156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-15
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty