Healthcare Provider Details

I. General information

NPI: 1669997243
Provider Name (Legal Business Name): MELISSA MESKELL, LMHC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 MONTVALE AVENUE SUITE 327
STONEHAM MA
02180
US

IV. Provider business mailing address

38 MONTVALE AVE STE 327
STONEHAM MA
02180-2406
US

V. Phone/Fax

Practice location:
  • Phone: 781-953-0617
  • Fax:
Mailing address:
  • Phone: 781-953-0617
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number7580
License Number StateMA

VIII. Authorized Official

Name: MS. MELISSA ANNE MESKELL
Title or Position: LICENSED MENTAL HEALTH CLINICIAN
Credential: LMHC
Phone: 781-953-0617