Provider Demographics
NPI:1881771228
Name:FELDSTEIN, MELONIE DYANNE (LPCC/S, RPT-S)
Entity type:Individual
Prefix:MS
First Name:MELONIE
Middle Name:DYANNE
Last Name:FELDSTEIN
Suffix:
Gender:F
Credentials:LPCC/S, RPT-S
Other - Prefix:
Other - First Name:MELONIE
Other - Middle Name:D
Other - Last Name:GROSSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4424 CARVER WOODS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-5535
Mailing Address - Country:US
Mailing Address - Phone:513-793-3661
Mailing Address - Fax:513-793-3661
Practice Address - Street 1:4424 CARVER WOODS DR STE 100
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-5535
Practice Address - Country:US
Practice Address - Phone:513-793-3661
Practice Address - Fax:513-793-3661
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-00041801041C0700X
OHE 0004180101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical