Healthcare Provider Details

I. General information

NPI: 1114458999
Provider Name (Legal Business Name): MELISSA GREER LOFTIS LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2017
Last Update Date: 02/20/2024
Certification Date: 02/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2670 MEMORIAL BLVD SUITE E
MURFREESBORO TN
37129-5139
US

IV. Provider business mailing address

2670 MEMORIAL BLVD STE E
MURFREESBORO TN
37129-5134
US

V. Phone/Fax

Practice location:
  • Phone: 615-900-4609
  • Fax:
Mailing address:
  • Phone: 615-995-0900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1200
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1200
License Number StateTN

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: