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NPI Code Detail

MEDICARE: MEL WALSH PSYCHOTHERAPY, PLLC

MEDICARE: MEL WALSH PSYCHOTHERAPY, PLLC
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1275496879
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEL WALSH PSYCHOTHERAPY, PLLC
Provider Business Mailing Address
First Line : 5900 BALCONES DR STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78731-4298
Country : US
Telephone Number : 512-222-3607
Fax Number :
Provider Business Practice Location Address
First Line : 4101 MEDICAL PKWY
Second Line :
City : AUSTIN
State : TX
Zip : 78756-3734
Country : US
Telephone Number : 512-222-3607
Fax Number :
Authorized Official
Title or Position : PSYCHOTHERAPIST
Name : MELANIE WALSH
Credential : LCSW
Telephone Number : 512-222-3607
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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