Healthcare Provider Details

I. General information

NPI: 1790367860
Provider Name (Legal Business Name): MELODY G BELCHER LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2021
Last Update Date: 06/03/2021
Certification Date: 06/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 MERCY HEALTH BLVD STE 340
CINCINNATI OH
45211-1112
US

IV. Provider business mailing address

3301 MERCY HEALTH BLVD STE 340
CINCINNATI OH
45211-1112
US

V. Phone/Fax

Practice location:
  • Phone: 513-981-5922
  • Fax:
Mailing address:
  • Phone: 513-981-5922
  • Fax: 513-385-6430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.1901160-SUPV
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: