Healthcare Provider Details

I. General information

NPI: 1548185374
Provider Name (Legal Business Name): MELISSA CHAMBERS LPC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1195 F G JONES RD
MALVERN AR
72104-7382
US

IV. Provider business mailing address

1195 F G JONES RD
MALVERN AR
72104-7382
US

V. Phone/Fax

Practice location:
  • Phone: 870-310-8214
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MELISSA CHAMBERS
Title or Position: OWNER
Credential: LPC
Phone: 870-310-8214