Healthcare Provider Details

I. General information

NPI: 1255984126
Provider Name (Legal Business Name): MELISSA NICOLE DUGAS LPC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2019
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 CEDAR HILL LN
WEST COLUMBIA SC
29170-1257
US

IV. Provider business mailing address

7240 CROWDER BLVD STE 400
NEW ORLEANS LA
70127-1923
US

V. Phone/Fax

Practice location:
  • Phone: 504-264-1780
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number7976
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number10691
License Number StateSC
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number22462
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: