Healthcare Provider Details

I. General information

NPI: 1447695069
Provider Name (Legal Business Name): MELANIE R PIGNOTTI LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MELANIE R LITTON

II. Dates (important events)

Enumeration Date: 05/09/2013
Last Update Date: 10/27/2020
Certification Date: 10/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 W. HIGGINS RD. SUITE 260
HOFFMAN ESTATES IL
60169
US

IV. Provider business mailing address

2500 W. HIGGINS RD. SUITE 260
HOFFMAN ESTATES IL
60169
US

V. Phone/Fax

Practice location:
  • Phone: 904-610-5181
  • Fax: 574-269-5573
Mailing address:
  • Phone: 904-610-5181
  • Fax: 574-269-5573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number180.012957
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: