Provider Demographics
NPI:1982055075
Name:GARRETT-NEZAT, MELINDA FRANCES
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:FRANCES
Last Name:GARRETT-NEZAT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1112 E COPELAND RD
Mailing Address - Street 2:STE 310
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-4910
Mailing Address - Country:US
Mailing Address - Phone:817-265-2344
Mailing Address - Fax:817-277-5610
Practice Address - Street 1:1112 E COPELAND RD
Practice Address - Street 2:STE 310
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-4910
Practice Address - Country:US
Practice Address - Phone:817-265-2344
Practice Address - Fax:817-277-5610
Is Sole Proprietor?:No
Enumeration Date:2016-06-29
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health