Healthcare Provider Details

I. General information

NPI: 1487830923
Provider Name (Legal Business Name): MELISSA JONES RIVET LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2008
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10410 PLANK RD
CLINTON LA
70722-3710
US

IV. Provider business mailing address

PO BOX 395
CLINTON LA
70722-0395
US

V. Phone/Fax

Practice location:
  • Phone: 225-683-8877
  • Fax: 225-683-1349
Mailing address:
  • Phone: 225-683-5292
  • Fax: 225-683-1310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4388
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: