Healthcare Provider Details

I. General information

NPI: 1700706926
Provider Name (Legal Business Name): MELISSA PAOLERCIO LPCMH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 UPPER SNUFF MILL ROW
YORKLYN DE
19736
US

IV. Provider business mailing address

101 SKYLINE DR
LANDENBERG PA
19350-9355
US

V. Phone/Fax

Practice location:
  • Phone: 302-689-3408
  • Fax:
Mailing address:
  • Phone: 302-698-3408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC-0012101
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: