Provider Demographics
NPI:1912615642
Name:WILLIAMS, MELISSA KAY (MA NCC, CTP)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:KAY
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MA NCC, CTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:VANDERGRIFT
Mailing Address - State:PA
Mailing Address - Zip Code:15690-1146
Mailing Address - Country:US
Mailing Address - Phone:724-393-7032
Mailing Address - Fax:
Practice Address - Street 1:152 MARKET ST
Practice Address - Street 2:
Practice Address - City:LEECHBURG
Practice Address - State:PA
Practice Address - Zip Code:15656-1335
Practice Address - Country:US
Practice Address - Phone:412-612-2799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-11
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor