MEDICARE: MENTAL HEALTH IN COLOR, PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1033816939
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MENTAL HEALTH IN COLOR, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 12604
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79913-0604
Country	:	US
Telephone Number	:	813-508-8826
Fax Number	:

Provider Business Practice Location Address
First Line	:	5625 WOODROW BEAN STE 127
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79924-4144
Country	:	US
Telephone Number	:	813-508-8826
Fax Number	:

Authorized Official
Title or Position	:	OWNER/COUNSELOR
Name	:	MELISSA COLOR LEHTO
Credential	:	LPC-A
Telephone Number	:	813-508-8826

Provider Enumeration Date	:	02/10/2023
Last Update Date	:	02/14/2023

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