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NPI Code Detail

MEDICARE: MRS. EVELYN MELO LMHC

MEDICARE:  MRS. EVELYN  MELO  LMHC
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
1101YM0800XMental Health CounselorMH6858FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972738854
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EVELYN MELO LMHC
Provider Business Mailing Address
First Line : 8785 SW 165TH AVE
Second Line : SUITE #200
City : MIAMI
State : FL
Zip : 33193-5826
Country : US
Telephone Number : 786-587-9656
Fax Number :
Provider Business Practice Location Address
First Line : 8785 SW 165TH AVE
Second Line : SUITE # 200
City : MIAMI
State : FL
Zip : 33193-5826
Country : US
Telephone Number : 786-587-9656
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2009
Last Update Date : 03/18/2014

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Directions to “ MRS. EVELYN MELO LMHC” Practice Location

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