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NPI Code Detail

MEDICARE: HEATHER MELTON

MEDICARE: HEATHER MELTON
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
1101YM0800XMental Health Counselor
2103K00000XBehavior Analyst1-14-9537KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285045088
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER MELTON
Provider Business Mailing Address
First Line : 1321 MURFREESBORO PIKE STE 410
Second Line :
City : NASHVILLE
State : TN
Zip : 37217-2665
Country : US
Telephone Number : 615-247-5487
Fax Number :
Provider Business Practice Location Address
First Line : 3551 PARK PLAZA RD
Second Line :
City : PADUCAH
State : KY
Zip : 42001-5948
Country : US
Telephone Number : 270-854-1482
Fax Number : 615-815-1946
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2014
Last Update Date : 06/20/2023

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Directions to “ HEATHER MELTON ” Practice Location

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