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General NPI Number Information
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NPI Number | 1457202749
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Entity Type | Individual
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Provider Name | SUSAN ELAINE MELTON LPC-ASSOCIATE
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Gender | Female
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 1452 HUGHES RD
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City | GRAPEVINE
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State | TX
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Zip | 76051-7366
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Country | US
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Telephone | 682-503-1788
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Fax |
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Provider Business Mailing Address
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Address Line | 3016 CRESTWAY DR
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City | FORT WORTH
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State | TX
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Zip | 76244-5256
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Country | US
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Telephone | 682-272-1327
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Fax | 682-272-1327
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 86571
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License Number State | TX
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