Healthcare Provider Details

I. General information

NPI: 1427333624
Provider Name (Legal Business Name): MELANIE MJ SUTTON L.P.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2011
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6834 CANTRELL RD STE 1004
LITTLE ROCK AR
72207-4135
US

IV. Provider business mailing address

1005 S GERMAN LN APT 30
CONWAY AR
72034-6078
US

V. Phone/Fax

Practice location:
  • Phone: 501-313-0939
  • Fax:
Mailing address:
  • Phone: 918-630-6018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: