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General NPI Number Information
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NPI Number | 1548767122
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Entity Type | Individual
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Provider Name | MELISSA ANN WINSTON LMFT
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Gender | Female
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Dates
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Enumeration Date | 04/10/2018
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 1412 SW EAGLES PKWY
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City | GRAIN VALLEY
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State | MO
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Zip | 64029-8508
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Country | US
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Telephone | 816-443-5279
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Fax | 816-400-1892
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Provider Business Mailing Address
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Address Line | 1412 SW EAGLES PKWY
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City | GRAIN VALLEY
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State | MO
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Zip | 64029-8508
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Country | US
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Telephone | 816-443-5279
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Fax | 816-400-1892
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2014025253
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License Number State | MO
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