MEDICARE: MELANIE EMERSON

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1245592260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE EMERSON

Provider Business Mailing Address
First Line	:	4300 MACARTHUR AVE STE 260
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75209-6628
Country	:	US
Telephone Number	:	214-613-6426
Fax Number	:

Provider Business Practice Location Address
First Line	:	4300 MACARTHUR AVE STE 260
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75209-6628
Country	:	US
Telephone Number	:	214-613-6426
Fax Number	:

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

Provider Enumeration Date	:	06/14/2012
Last Update Date	:	06/20/2023

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Directions to “ MELANIE EMERSON ” Practice Location

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