MEDICARE: MELISSA LYND HARBISON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	101YP2500X	Professional Counselor	E.2203200	OH

General Provider Information

NPI Number	:	1023621562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA LYND HARBISON

Provider Business Mailing Address
First Line	:	820 S MARTIN LUTHER KING JR BLVD
Second Line	:
City	:	HAMILTON
State	:	OH
Zip	:	45011-3216
Country	:	US
Telephone Number	:	513-887-8500
Fax Number	:	513-737-8196

Provider Business Practice Location Address
First Line	:	1985 HENDERSON RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-2401
Country	:	US
Telephone Number	:	312-766-6780
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2020
Last Update Date	:	03/06/2025

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Directions to “ MELISSA LYND HARBISON ” Practice Location

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