MEDICARE: MELISSA L TELLES

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	106260	TX

General Provider Information

NPI Number	:	1336081561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA L TELLES

Provider Business Mailing Address
First Line	:	5625 WOODROW BEAN
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79924-4142
Country	:	US
Telephone Number	:	915-202-5778
Fax Number	:

Provider Business Practice Location Address
First Line	:	5625 WOODROW BEAN
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79924-4142
Country	:	US
Telephone Number	:	915-202-5778
Fax Number	:

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

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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Directions to “ MELISSA L TELLES ” Practice Location

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