Healthcare Provider Details

I. General information

NPI: 1205173473
Provider Name (Legal Business Name): MELISSA ALTON LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2013
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 N WESTMONTE DR
ALTAMONTE SPRINGS FL
32714-3345
US

IV. Provider business mailing address

1442 LARKIN CT
DELTONA FL
32725-4683
US

V. Phone/Fax

Practice location:
  • Phone: 424-622-9676
  • Fax:
Mailing address:
  • Phone: 407-430-8802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH12603
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: