Healthcare Provider Details

I. General information

NPI: 1184534562
Provider Name (Legal Business Name): MELENIE MESROPYAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4521 SHERMAN OAKS AVE
SHERMAN OAKS CA
91403-3807
US

IV. Provider business mailing address

14629 WEDDINGTON ST
SHERMAN OAKS CA
91411-4041
US

V. Phone/Fax

Practice location:
  • Phone: 424-261-9444
  • Fax:
Mailing address:
  • Phone: 424-844-0502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: