MEDICARE: MELISSA K ADAMS LPC

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	61132	TX

General Provider Information

NPI Number	:	1477759769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA K ADAMS LPC

Provider Business Mailing Address
First Line	:	12720 E BETHANY PL
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-3355
Country	:	US
Telephone Number	:	303-669-9515
Fax Number	:	720-238-5479

Provider Business Practice Location Address
First Line	:	2101 S BLACKHAWK ST STE 240
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-1475
Country	:	US
Telephone Number	:	720-238-5479
Fax Number	:	720-238-5479

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

Provider Enumeration Date	:	06/22/2007
Last Update Date	:	05/25/2021

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