Provider Demographics
NPI:1881084218
Name:MENELL, DELANEY (LMFT-A)
Entity type:Individual
Prefix:
First Name:DELANEY
Middle Name:
Last Name:MENELL
Suffix:
Gender:F
Credentials:LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3018 S 1ST ST
Mailing Address - Street 2:UNIT 117
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-6385
Mailing Address - Country:US
Mailing Address - Phone:512-410-9748
Mailing Address - Fax:
Practice Address - Street 1:3018 S 1ST ST
Practice Address - Street 2:UNIT 117
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-6385
Practice Address - Country:US
Practice Address - Phone:512-410-9748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-23
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202367106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist