MEDICARE: MELISSA ANN SELDON

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	101YP2500X	Professional Counselor	LPC016110	GA

General Provider Information

NPI Number	:	1447987045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA ANN SELDON

Provider Business Mailing Address
First Line	:	2100 COMER AVE
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-8725
Country	:	US
Telephone Number	:	706-569-5500
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 BROOKSTONE CENTRE PKWY STE 226
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-2988
Country	:	US
Telephone Number	:	706-653-2889
Fax Number	:	706-494-8220

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

Provider Enumeration Date	:	08/03/2022
Last Update Date	:	02/05/2026

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Directions to “ MELISSA ANN SELDON ” Practice Location

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