Provider Demographics
NPI:1841598422
Name:ALLEN, MELISSA B (LMHC, LPCC)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:B
Last Name:ALLEN
Suffix:
Gender:F
Credentials:LMHC, LPCC
Other - Prefix:DR
Other - First Name:MELISSA
Other - Middle Name:B
Other - Last Name:LINCICOME
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC, LPCC
Mailing Address - Street 1:726 20TH ST
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-5442
Mailing Address - Country:US
Mailing Address - Phone:772-257-5264
Mailing Address - Fax:
Practice Address - Street 1:726 20TH ST
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960
Practice Address - Country:US
Practice Address - Phone:772-257-5264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-07
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH5303101Y00000X
OHE0700904101YP2500X
FLMH16623101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH16623OtherFLORIDA BOARD OF MENTAL HEALTH COUNSELING
OHE0700904OtherCOUNSELING BOARD