Healthcare Provider Details
I. General information
NPI: 1316061385
Provider Name (Legal Business Name): MELANIE RHODES MA, LMFT, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/16/2007
Last Update Date: 09/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1270 NATIVIDAD RD ROOM 200
SALINAS CA
93906-3122
US
IV. Provider business mailing address
1441 CONSTITUTION BLVD BLDG 400, STE 202
SALINAS CA
93906-3100
US
V. Phone/Fax
- Phone: 831-755-4510
- Fax:
- Phone: 831-796-1700
- Fax: 831-769-0552
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | 44636 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | LPC 103 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: