MEDICARE: MELISSA LIZETTE CUEVAS

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	014407	NY

General Provider Information

NPI Number	:	1265206924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA LIZETTE CUEVAS

Provider Business Mailing Address
First Line	:	416 E 137TH ST APT 3F
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10454-4022
Country	:	US
Telephone Number	:	917-443-8117
Fax Number	:

Provider Business Practice Location Address
First Line	:	416 E 137TH ST APT 3F
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10454-4022
Country	:	US
Telephone Number	:	917-443-8117
Fax Number	:

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

Provider Enumeration Date	:	11/13/2023
Last Update Date	:	01/06/2026

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Directions to “ MELISSA LIZETTE CUEVAS ” Practice Location

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