MEDICARE: MELISSA LESLEY HENSLEY PMHNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1175251	TX

General Provider Information

NPI Number	:	1285461988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA LESLEY HENSLEY PMHNP

Provider Business Mailing Address
First Line	:	6220 SEVILLE DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78724-6130
Country	:	US
Telephone Number	:	325-234-9300
Fax Number	:

Provider Business Practice Location Address
First Line	:	11301 THORNY BROOK TRL
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78750-1042
Country	:	US
Telephone Number	:	325-234-9300
Fax Number	:

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

Provider Enumeration Date	:	09/17/2024
Last Update Date	:	12/05/2025

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