Healthcare Provider Details

I. General information

NPI: 1750298469
Provider Name (Legal Business Name): SARAH MELENDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 E MABEL ST
TUCSON AZ
85705-6654
US

IV. Provider business mailing address

2702 E DRACHMAN ST
TUCSON AZ
85716-3511
US

V. Phone/Fax

Practice location:
  • Phone: 520-524-4757
  • Fax:
Mailing address:
  • Phone: 213-444-8015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLAC-08534T
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: