MEDICARE: MELISSA DILLER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	2250	AR

General Provider Information

NPI Number	:	1124958954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA DILLER

Provider Business Mailing Address
First Line	:	11 LEEWARD CT
Second Line	:
City	:	MAUMELLE
State	:	AR
Zip	:	72113-7011
Country	:	US
Telephone Number	:	609-707-2514
Fax Number	:

Provider Business Practice Location Address
First Line	:	11 LEEWARD CT
Second Line	:
City	:	MAUMELLE
State	:	AR
Zip	:	72113-7011
Country	:	US
Telephone Number	:	609-707-2514
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2026
Last Update Date	:	05/22/2026

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Directions to “ MELISSA DILLER ” Practice Location

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