Healthcare Provider Details

I. General information

NPI: 1649818824
Provider Name (Legal Business Name): MELISSA A ALICEA LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2019
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 N MAIN ST FL 2
FALL RIVER MA
02720-2130
US

IV. Provider business mailing address

10 N MAIN ST
FALL RIVER MA
02720-2130
US

V. Phone/Fax

Practice location:
  • Phone: 508-679-9900
  • Fax: 508-679-1969
Mailing address:
  • Phone: 508-679-9900
  • Fax: 508-679-1969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC10000600
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: