Healthcare Provider Details

I. General information

NPI: 1972311645
Provider Name (Legal Business Name): MELISSA DEANEEN MENDER LMHPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MELISSA DEANEEN HARRISON NONE

II. Dates (important events)

Enumeration Date: 12/26/2024
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 S 38TH CT STE 210
RENTON WA
98055-5777
US

IV. Provider business mailing address

3521 SILVERSIDE RD STE 2F1
WILMINGTON DE
19810-4900
US

V. Phone/Fax

Practice location:
  • Phone: 253-752-7320
  • Fax: 253-276-6624
Mailing address:
  • Phone: 302-224-1400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC-0011760
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC.LH.70121654
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC-0011760
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: