Provider Demographics
NPI:1982994125
Name:SEXTON, MELISSA DAWN (PHD, MDIV, LMFT)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:DAWN
Last Name:SEXTON
Suffix:
Gender:F
Credentials:PHD, MDIV, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 CHURCH ST
Mailing Address - Street 2:SUITE 109
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-3330
Mailing Address - Country:US
Mailing Address - Phone:678-640-2726
Mailing Address - Fax:404-478-6854
Practice Address - Street 1:215 CHURCH ST
Practice Address - Street 2:SUITE 109
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-3330
Practice Address - Country:US
Practice Address - Phone:678-640-2726
Practice Address - Fax:404-478-6854
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-08
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMFT001013106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist