MEDICARE: MELISSA LAUER LPC

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	101YP2500X	Professional Counselor	84012	TX

General Provider Information

NPI Number	:	1255113866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA LAUER LPC

Provider Business Mailing Address
First Line	:	5021 MILE 6 RD
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-6148
Country	:	US
Telephone Number	:	956-867-5070
Fax Number	:

Provider Business Practice Location Address
First Line	:	5021 MILE 6 RD
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-6148
Country	:	US
Telephone Number	:	956-867-5070
Fax Number	:

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

Provider Enumeration Date	:	10/18/2023
Last Update Date	:	10/23/2023

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